Enhanced Leads and Appointment System (eLAS) Screens

Social Security Benefits Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0618 can be found here:

Documents and Forms

Document Name Document Type
eLAS Screens - Initial Claims.pdf Other-Intranet-Based Appontment Scre
eLAS Screens - Post Entitlement Event.pdf Other-Intranet-Based Appointment Scr

Information Collection (IC) Details

IC Title:	Enhanced Leads and Appointment System (eLAS) Screens	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.703 20 CFR 404.630-404.632 20 CFR 416.340-416.350

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Intranet-Based Appontment Screens			eLAS Screens - Initial Claims.pdf		Yes	Yes	Fillable Fileable Signable
Other-Intranet-Based Appointment Screens			eLAS Screens - Post Entitlement Event.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: 5,157,780	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	5,157,780	5,157,780
Annual IC Time Burden (Hours)	859,630	859,630
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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