Addendum to Supporting Statement for Form SSA-8203-BK
Statement for Determining Continuing Eligibility for
Supplemental Security Income Payment
20 CFR 416.204
OMB No. 0960-0416
Revision to the Collection Instrument
SSA is making the following revisions:
Change #1: We are deleting the instructions "IF YOU LIVE IN CALIFORNIA, PLEASE DO NOT ANSWER QUESTION 25 BELOW" on page 7 of
Form SSA-8203-BK.
Justification #1: On June 27, 2018, the California Governor signed into law Assembly Bill (AB) 1811, which will end cash-out in the State as of June 1, 2019. Currently, the State increases the amount of the State Supplementary Payment (SSP) to include the value of the Supplemental Nutrition Assistance Program (SNAP) allotment; which is also known as “cash-out.” Currently, Supplemental Security Income (SSI)/SSP recipients residing in the State are ineligible for SNAP benefits.
Effective June 1, 2019, SSA technicians will begin informing all SSI applicants and recipients residing in households in California consisting only of SSI applicants and recipients of their right to apply for SNAP benefits at the SSA office, and will begin screening all SSI applicants and recipients for SNAP eligibility or SNAP application status. SSA will begin assisting and completing SNAP applications from members of pure SSI households in California.
Change #2: We are revising the Privacy Act Statement on this form.
Justification #2: SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statement on the form.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Addendum to the Supporting Statement for Form SSA-3462 |
| Author | 177717 |
| File Modified | 0000-00-00 |
| File Created | 2021-01-15 |