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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Form SSA-8150 Reporting Events - SSI 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

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-8150				No		Paper Only
Other-electronic screens					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 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
SSA-8150 Old Version		12/02/2010

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

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