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Information Collection

Application For Supplemental Security Income (individual)

IC 166615 under ICR 198011-0960-008 · OMB 0960-0122.

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APPLICATION FOR SUPPLEMENTAL SECURITY INCOME (INDIVIDUAL)
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-8001-F4 No No


    

604,800 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 604,800 0 0 0 0 604,800
Annual IC Time Burden (Hours) 134,400 0 0 -188,160 0 322,560
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.