Information Collection

Electronic Benefit Verification Informaiton (BEVE)

IC 9573 under ICR 201103-0960-009 · OMB 0960-0595.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0595 can be found here:

Documents and Forms

Document Name Document Type
Electronic Benefit Verification Informaiton (BEVE) Form and Instruction
Electronic Benefit Verification Information (BEVE) Beve Screens.pdf secure.ssa.gov/apps6z/BEVE/main.html Form and Instruction
Beve Screens.pdf Current BEVE Screens IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Electronic Benefit Verification Informaiton (BEVE)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.40(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Electronic Benefit Verification Information (BEVE)	Beve Screens.pdf	https://secure.ssa.gov/apps6z/BEVE/main.html	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 870,958	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	870,958	555,984	314,974
Annual IC Time Burden (Hours)	72,580	46,332	26,248
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current BEVE Screens	Beve Screens.pdf	03/14/2011

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