Social Security Benefits Application

ICR 201705-0960-002

OMB: 0960-0618

Federal Form Document

ICR Details
0960-0618 201705-0960-002
Historical Active 201609-0960-001
SSA
Social Security Benefits Application
Revision of a currently approved collection   No
Regular
Approved with change 04/12/2018
Retrieve Notice of Action (NOA) 08/04/2017
In accordance with 5 CFR 1320, the information collection is approved for three years.
  Inventory as of this Action Requested Previously Approved
04/30/2021 36 Months From Approved 02/29/2020
7,103,513 0 11,374,764
1,576,027 0 2,529,303
0 0 0

Title II of the Social Security Act provides retirement, survivors, and disability benefits to members of the public who meet the required eligibility criteria and file the appropriate application. This collection comprises the various application methods for the retirement, survivors, and disability benefits. These methods include the following modalities: paper forms (Forms SSA–1, SSA–2, and SSA–16), Modernized Claims System (MCS) screens for in-person interview applications, as well as the Internet-based iClaim and iAppointment applications allowing the public to apply electronically. SSA uses the information collected using these modalities to determine: (1) the applicants' eligibility for the above-mentioned Social Security benefits, and (2) the amount of the benefits. The respondents are applicants for retirement, survivors, and disability benefits under Title II of the Act, their representatives, and in some instances, applicants for SSI payments or their representatives who are requesting to file for SSI through iClaim.

US Code: 42 USC 426 Name of Law: Social Security Act
   US Code: 42 USC 1395j Name of Law: Social Security Act
   US Code: 42 USC 1395o Name of Law: Social Security Act
   US Code: 42 USC 402 Name of Law: Social Security Act
   US Code: 42 USC 423 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  82 FR 22175 05/12/2017
82 FR 35022 07/27/2017
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,103,513 11,374,764 0 -4,270,974 -277 0
Annual Time Burden (Hours) 1,576,027 2,529,303 0 -950,447 -2,829 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
The decrease in burden stems from a decrease in the number of respondents using the paper forms. In addition, we are associating the iClaim respondents with the appropriate benefit application. Doing so allows us to accurately report the total estimated burden hours for each benefit application. The additional foreign work questions that we include in iClaim for respondents applying for retirement or disability benefits, increases a respondent’s average burden response by 5 minutes.

$66,625,863
No
    Yes
    Yes
No
No
No
Uncollected
Faye Lipsky 410 965-8783 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/04/2017


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