Information Collection

Reporting Events - SSI

IC 9105 under ICR 201010-0960-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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
MSSICS Screens.pdf Other-electronic screens
SSA-8150 Reporting Events - SSI SSA-8150 Revised.pdf Form
SSA-8150 Old Version.pdf SSA-8150 Old Version IC Document

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 Revised.pdf		No		Paper Only
Other-electronic screens			MSSICS Screens.pdf		Yes	Yes	Fillable Fileable

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: 85 %

	Approved	Previously Approved
Annual Number of Responses for this IC	27,320	27,320
Annual IC Time Burden (Hours)	2,277	2,277
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-8150 Old Version	SSA-8150 Old Version.pdf	12/02/2010

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