iClaim Applicant After 3rd Party Completion

Social Security Benefits Application

OMB: 0960-0618

IC ID: 184984

Information Collection (IC) Details

View Information Collection (IC)

iClaim Applicant After 3rd Party Completion
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.310-.311 20 CFR 404.315-.322 20 CFR 404.330-.333 20 CFR 404.601-.603 20 CFR 404.1501-.1512

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Notices to Beneficiaries with 3rd-party iClaim completion New Notices to Beneficiaries for 3rd-party iClaim Completion.doc No   Paper Only
Other-Revised iClaim Screens - TOS iClaim-Authentication Screens - Revised Screens (Only).pdf www.ssa.gov Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

350,519 0
   
Individuals or Households
 
   0 %

  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 350,519 0 0 0 0 350,519
Annual IC Time Burden (Hours) 29,210 0 0 0 0 29,210
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current Notice to Beneficiaries for 3rd-Party iClaim Completion 2009 Notices to Beneficiaries for 3rd-Party iClaim Completion.pdf 11/20/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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