Application for Supplemental Security Income--SSA-8000-BK (Paper Form)

Application for Supplemental Security Income (SSI)

OMB: 0960-0229

IC ID: 44924

Information Collection (IC) Details

View Information Collection (IC)

Application for Supplemental Security Income--SSA-8000-BK (Paper Form)
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 416.305-.335 20 CFR 416.207

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-8000-BK Application for Supplemental Security Income (SSI) SSA-8000 (revised).pdf No   Paper Only

Income Security General Retirement and Disability

 

20,941 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 20,941 0 0 0 0 20,941
Annual IC Time Burden (Hours) 14,310 0 0 0 0 14,310
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-8000-BK - Current SSA-8000 (current).pdf 02/12/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy