Information Collection

1st Party Internet Social Security Benefits Application (iClaim) - Foreign Applicants

IC 201977 under ICR 201207-0960-001 · OMB 0960-0618.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0618 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Final Modified iClaim Screen Package.pdf	Other-Internet Screens
FY 2010 OMB-Approved iClaim Screen Package.pdf www.socialsecurity.gov	Other-Internet Screens
Revised iClaim Direct Deposit Screens.pdf	Other-Revised Direct Deposit Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

1st Party Internet Social Security Benefits Application (iClaim) - Foreign Applicants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.330-404.333 20 CFR 404.1501-404.1512 20 CFR 404.601-404.603 20 CFR 404.310-404.311 20 CFR 404.315-404.322 20 CFR 404.401(b)(1) 20 CFR 404.415 & 404.417 20 CFR 404.460; 404.463 20 CFR 422.505(b) 42 CFR 407.27(c) 31 CFR 210

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens	Final Modified iClaim Screen Package.pdf		Yes	Yes	Fillable Fileable Signable
Other-Internet Screens	FY 2010 OMB-Approved iClaim Screen Package.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-Revised Direct Deposit Screens	Revised iClaim Direct Deposit Screens.pdf		Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,291

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	8,291	8,291
Annual IC Time Burden (Hours)	415	415
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.