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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.