Information Collection

Social Security Benefits Application (Internet, Retirement Survivor & Disability) - Part 404 Subpart D, G & P

IC 9627 under ICR 200310-0960-008 · OMB 0960-0618.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0618 can be found here:

Documents and Forms

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IC Title:

Social Security Benefits Application (Internet, Retirement Survivor & Disability) - Part 404 Subpart D, G & P

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SSA-16	Yes	Yes
Form	SSA-2	Yes	Yes
Form	SSA-1	Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,843,369

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 97 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,843,369	3,674,369	169,000
Annual IC Time Burden (Hours)	995,457	935,180	60,277
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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