Determining Continuing Eligibility for Supplemental Security Income Payments – Hardcopy Form

Statement for Determining Continuing Eligibility for Supplemental Security Income Payments

OMB: 0960-0416

IC ID: 178984

Information Collection (IC) Details

View Information Collection (IC)

Determining Continuing Eligibility for Supplemental Security Income Payments – Hardcopy Form
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.204

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-8203 Statement Determining Continuing Eligibility for Supplemental Security Income Payments SSA-8203-BK.pdf No   Paper Only

Income Security General Retirement and Disability

 

31,522 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 31,522 0 0 5,872 0 25,650
Annual IC Time Burden (Hours) 10,507 0 0 1,957 0 8,550
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Currently Approved SSA-8203-BK SSA-8203-BK.pdf 10/23/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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