OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Application for Supplemental Security Income - SSI Claims System/PCS Screens

IC 188726 under ICR 201907-0960-002 · OMB 0960-0444.

Documents and Forms
Document Name
Document Type
Other-SSI Claims System Screens
Other-PCS Screen Package
Other-Updated Privacy Act Statement
Other-Internal Screens
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Application for Supplemental Security Income - SSI Claims System/PCS Screens
 
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
Other-PCS Screen Package PCS Screen Package.pdf Yes Yes Fillable Fileable Signable
Other-Updated Privacy Act Statement for the PCS Screens PCS Privacy Act Statement.pdf Yes No Printable Only
Other-Internal Screens Person Information Marriage -Screen Package.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

802,368 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 802,368 0 0 0 0 802,368
Annual IC Time Burden (Hours) 267,456 0 0 0 0 267,456
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSI Claims System Marriage Screens SSI Claims System Marriage Screens.pdf 07/09/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.