Information Collection

Statement for determining continuing eligibility for Supplemental Security Income Payments -- MISSIC Screens Signature Proxy

IC 37987 under ICR 200702-0960-009 · OMB 0960-0416.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0416 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
MISSICS_Screens_8203_02-26-07 Signature Proxy.pdf	Other-MISSICS Screens Signature Prox

IC Title:

Statement for determining continuing eligibility for Supplemental Security Income Payments -- MISSIC Screens Signature Proxy

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.204

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-MISSICS Screens Signature Proxy					Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 36,338

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	36,338	-134,662	171,000
Annual IC Time Burden (Hours)	11,507	-44,887	56,394
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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