Social Security Benefits Application

ICR 201902-0960-011

OMB: 0960-0618

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
 Modified
Form and Instruction
 Unchanged
Form
 Unchanged
Form
 Modified
Supplementary Document
2019-02-12
Justification for No Material/Nonsubstantive Change
2019-02-13
IC Document Collections
IC ID
Document
Title
Status
9628 Modified
201977 Unchanged
194187 Unchanged
191246 Modified
191245 Modified
191244 Modified
184984 Unchanged
184982 Modified
179349 Unchanged
179348 Modified
179344 Unchanged
179343 Modified
179340 Modified
179338 Modified
ICR Details
0960-0618 201902-0960-011
Historical Active 201807-0960-003
SSA
Social Security Benefits Application
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 02/26/2019
Retrieve Notice of Action (NOA) 02/13/2019
  Inventory as of this Action Requested Previously Approved
04/30/2021 04/30/2021 04/30/2021
7,103,513 0 7,103,513
1,576,027 0 1,576,027
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. This is a non-substantive Change Request to include the new Preliminary Claims System screens, as well as to make minor revisions to both iClaim and the SSA-1.
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 7,103,513 0 0 0 0
Annual Time Burden (Hours) 1,576,027 1,576,027 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$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.
02/13/2019
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