Application for Supplemental Security Income--MISSICS with Signature Proxy

Application for Supplemental Security Income (SSI)

OMB: 0960-0229

IC ID: 44923

Information Collection (IC) Details

View Information Collection (IC)

Application for Supplemental Security Income--MISSICS with Signature Proxy
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 416.207 20 CFR 416.305-.335

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-8000 Application for Supplemental Security Income (SSI)--MSSICS Screens MSSICS Screens.pdf Yes Yes Fillable Fileable Signable
Form SSA-8000 Application for Supplemental Security Income (SSI)--New Screen for Direct Express MSSICS Screen Mock-up -- Additional Screen for Direct Express.doc Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

1,117,515 0
   
Individuals or Households
 
   100 %

  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 1,117,515 0 0 0 0 1,117,515
Annual IC Time Burden (Hours) 651,884 0 0 0 0 651,884
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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