OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

1st Party Internet Social Security Benefits Application (iClaim)

IC 9628 under ICR 201105-0960-009 · OMB 0960-0618.

Documents and Forms
Document Name
Document Type
Other-Revised iClaim screens
Other-revised screens
IC Document
Information Collection (IC) Details

View Information Collection (IC)

1st Party Internet Social Security Benefits Application (iClaim)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.330-.333 20 CFR 404.1501-.1512 20 CFR 404.601-.603 20 CFR 404.310-.311 20 CFR 404.315-.322

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Revised iClaim screens Basic29_Screen Package English iClaim Updated 05202011.docx htttp://www.socialsecurity.gov Yes Yes Fillable Fileable Signable
Other-revised screens Screen Package English iClaim AllElse 05202011.docx Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

541,851 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 541,851 0 0 0 0 541,851
Annual IC Time Burden (Hours) 135,463 0 0 0 0 135,463
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Currently Approved iClaim Screens FY 2010 OMB-Approved iClaim Screen Package.pdf 08/12/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.