Within two weeks of approval of this change request, the agency will brief OMB on the technical operation of the new electronic collection. OMB affirms that potential future revisions to this collection that reduce the available modalities for responding to the collection will be treated as substantive and require appropriate Federal Register notice.
Inventory as of this Action
Requested
Previously Approved
04/30/2021
04/30/2021
04/30/2021
7,113,513
0
7,103,513
1,581,027
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 SSAâ1, SSAâ2, and SSAâ16), 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 Medicare Part B Online screens for use during a COVID-related special enrollment period for Medicare Part B.
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
We are including the new, temporary, Medicare Part B Online screens under 0960-0618 for CMS to use during a COVID-related special enrollment period. Once we obtain approval for these screens, we will transfer them back to CMS. Therefore, there is a temporary increase in burden of 5,000 hours, but that increase will last only for as long as necessary.
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.
Form SSA-1 Medicare-only Paper Form SSA-1
Justification for the Non-Substantive Changes - 0618 (COVID-Related Medicare Part B Application).docx
1st Party Internet Social Security Benefits Application (iClaim) - Domestic Applicants