iClaim/MSSICS

Application for Supplemental Security Income

OMB: 0960-0444

IC ID: 224688

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

iClaim/MSSICS
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.305 - 416.335

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-SSI Claims System Screens SSA-8001 - Revised SSI Claims System Screens.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

168,661 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 168,661 0 0 5,716 0 162,945
Annual IC Time Burden (Hours) 56,220 0 0 1,905 0 54,315
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current MSSICS Screens for the SSA-8001 SSA-8001 - Current MSSICS Screenshots.pdf 02/20/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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