Information Collection

Statement for Determining Continuing Eligibility - SSI Claims System

IC 45420 under ICR 201903-0960-003 · OMB 0960-0145.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0145 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-8202 - SSI Claims System Screens.pdf	Other-SSI Claims System - Intranet S
MSSICS Screens.pdf Previous MSSICS Screens (Internal Screens)	IC Document

IC Title:

Statement for Determining Continuing Eligibility - SSI Claims System

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.204

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-SSI Claims System - Intranet Screens			SSA-8202 - SSI Claims System Screens.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,021,833

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,021,833	-267,766	2,289,599
Annual IC Time Burden (Hours)	673,944	-89,256	763,200
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Previous MSSICS Screens (Internal Screens)	MSSICS Screens.pdf	03/14/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.