Information Collection Request
ICR 201008-0960-006 · OMB 0960-0618 · Public filing
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0618 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-1 Application for Retirement Insurance Benefits |
Form and Instruction | Modified | Available |
| Form SSA-16 Application for Disability Insurance Benefits |
Form and Instruction | Modified | Available |
| Form SSA-2 Application for Wife's or Husband's Insurance Benefits |
Form and Instruction | Modified | Available |
| Form SSA-1 Application for Retirement Insurance Benefits |
Form | Modified | Available |
 Addendum - 0618 (Final).doc |
Supplementary Document | Uploaded 2010-08-18 | Available |
| Supporting Statement - 0618 (Final).doc |
Supporting Statement A | Uploaded 2010-08-18 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 9628 |  1st Party Internet Social Security Benefits Application (iClaim) |
Other-Revised iClaim screens | Modified | |
| 194187 | iAppointment |
Other-iAppointment Screens | New | |
| 191246 | Medicare-only iClaim |
Other-Internet screens | Modified | |
| 191245 | Medicare-only Paper Form SSA-1 |
Instruction | Modified | |
| 191245 | Medicare-only Paper Form SSA-1 |
Form and Instruction | Modified | Application for Retirement Insurance Benefits |
| 191244 | Medicare-only MCS screens |
Other-MCS screens for Medicare-only (will be modified in intervi | Unchanged | |
| 184984 | Notices to Beneficiaries who Have Third Parties Applying for them Via iClaim |
Other-Notices to Beneficiaries with 3rd-party iClaim completion | Unchanged | |
| 184982 | 3rd Party iClaim |
Other-iClaim screens -- for 3rd parties | Modified | |
| 179349 | Paper Form SSA-16 (Application for Disability Insurance Benefits ) |
Instruction | Modified | |
| 179349 | Paper Form SSA-16 (Application for Disability Insurance Benefits ) |
Form and Instruction | Modified | Application for Disability Insurance Benefits |
| 179348 | SSA-16 MCS Signature Proxy |
Other-MCS/Signature Proxy | Unchanged | |
| 179347 | SSA-16 MCS Screens |
Other-MCS Screens | Unchanged | |
| 179344 | Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) |
Instruction | Modified | |
| 179344 | Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) |
Form and Instruction | Modified | Application for Wife's or Husband's Insurance Benefits |
| 179343 | SSA-2 MCS Signature Proxy |
Other-MCS Signature Proxy Screens | Unchanged | |
| 179341 | SSA-2 MCS Screens |
Other-MCS Screens | Unchanged | |
| 179340 | Paper Form SSA-1 (Application for Retirement Insurance Benefits) |
Instruction | Modified | |
| 179340 | Paper Form SSA-1 (Application for Retirement Insurance Benefits) |
Form | Modified | Application for Retirement Insurance Benefits |
| 179338 | SSA-1 MCS Signature Proxy |
Other-MCS/Signature Proxy | Unchanged | |
| 179334 | SSA-1 MCS Screens |
Other-MCS Screens | Unchanged |
ICR Details
| OMB Control No | 0960-0618 |
|---|