Information Collection

Electronic Benefit Verification Informaiton (BEVE)

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

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

IC Title:

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:

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)	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 %

table that charts list of burden
	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

table that charts IC Documents
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.