Information Collection

Reporting Events - SSI

IC 9105 under ICR 200803-0960-015 · OMB 0960-0128.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0128 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-8150 Reporting Events - SSI Form
SSA-8150 Reporting Events - SSI SSA-8150.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reporting Events - SSI	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 416.701-.732

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-8150	Reporting Events - SSI	SSA-8150.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 27,320	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	27,320	-2,860	30,180
Annual IC Time Burden (Hours)	2,277	-238	2,515
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.