Information Collection

1st Party Internet Social Security Benefits Application (iClaim) - Foreign Applicants

IC 201977 under ICR 202101-0960-004 · OMB 0960-0618.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
iClaim - Revised Screens.pdf www.socialsecurity.gov	Other-Internet Screens
iClaim - Revised Screens.pdf www.socialsecurity.gov	Other-Internet Screens
Revised iClaim PA Statments Screen.pdf www.socialsecurity.gov	Other-Internet Screen
Revised iClaim PA Statments Screen.pdf www.socialsecurity.gov	Other-Internet Screen
iClaim-Authentication Screens - Revised Screens (Only).pdf	Other-Revised iClaim Screens - TOS
iClaim-Authentication Screens - Revised Screens (Only).pdf	Other-Revised iClaim Screens - TOS
iClaim - Current Screens.pdf Currently Approved iClaim Screens	IC Document
iClaim - Current Screens.pdf Currently Approved iClaim Screens	IC Document
Current Foreign iClaim Screens.pdf iClaim Current Foreign Claim Screens	IC Document
Current Foreign iClaim Screens.pdf iClaim Current Foreign Claim Screens	IC Document
Current Revised Direct Deposit iClaim Screens - Foreign Claims.pdf Current Foreign Direct Deposit iClaim Screens	IC Document
Current Revised Direct Deposit iClaim Screens - Foreign Claims.pdf Current Foreign Direct Deposit iClaim Screens	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

1st Party Internet Social Security Benefits Application (iClaim) - Foreign Applicants

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.460; 404.463 20 CFR 404.601-404.603 20 CFR 404.310-404.311 20 CFR 404.330-404.333 20 CFR 404.315-404.322 20 CFR 404.401(b)(1) 20 CFR 404.415 & 404.417 20 CFR 422.505(b) 42 CFR 407.27(c) 31 CFR 210 20 CFR 404.1501-404.1512

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			iClaim - Revised Screens.pdf	http://www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 11,373

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	11,373	11,373
Annual IC Time Burden (Hours)	3,412	3,412
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Currently Approved iClaim Screens	iClaim - Current Screens.pdf	08/06/2013
iClaim Current Foreign Claim Screens	Current Foreign iClaim Screens.pdf	08/06/2013
Current Foreign Direct Deposit iClaim Screens	Current Revised Direct Deposit iClaim Screens - Foreign Claims.pdf	08/06/2013

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