OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

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

IC 9628 under ICR 201603-0960-006 · OMB 0960-0618.

Documents and Forms
Document Name
Document Type
Other-Internet Screens
Other-Internet Screen
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

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

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internet Screens iClaim - Revised Screens.pdf https://secure.ssa.gov/iCLM/rib Yes Yes Fillable Fileable Signable
Other-Internet Screen Revised iClaim PA Statments Screen.pdf http://www.socialsecurity.gov Yes Yes Printable Only

Income Security General Retirement and Disability

 

1,838,943 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 1,838,943 0 0 0 0 1,838,943
Annual IC Time Burden (Hours) 459,736 0 0 0 0 459,736
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current iClaim Screens iClaim - Current Screens.pdf 08/06/2013
Current iClaim Privacy Act Statements Current iClaim PA Statments Screen.pdf 08/06/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.