Information Collection

Electronic Benefit Verification Informaiton (BEVE)

IC 9573 under ICR 201201-0960-012 · OMB 0960-0595.

Documents and Forms

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

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: Unchanged

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)	Electronic Benefit Verification Information (BEVE).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 %

	Approved	Previously Approved
Annual Number of Responses for this IC	870,958	870,958
Annual IC Time Burden (Hours)	72,580	72,580
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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