Information Collection

Reporting Events - SSI

IC 9105 under ICR 201311-0960-007 · OMB 0960-0128.

Documents and Forms

Document Name Document Type
Form SSA-8150 Reporting Events - SSI Form and Instruction
SSA-8150-MSSICS Screens.pdf Other-Internal Screens
SSA-8150 Reporting Events - SSI SSA-8150 - Revised Version.pdf Form and Instruction
SSA-8150 - Current Version.pdf Current SSA-8150 IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Reporting Events - SSI	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 416.701-.732

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-8150	Reporting Events - SSI	SSA-8150 - Revised Version.pdf		No		Paper Only
Other-Internal Screens			SSA-8150-MSSICS Screens.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36,767	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	36,767	9,447	27,320
Annual IC Time Burden (Hours)	3,064	787	2,277
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-8150	SSA-8150 - Current Version.pdf	02/10/2014

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