Social Security Benefits Application

ICR 202103-0960-010

OMB: 0960-0618

Federal Form Document

IC Document Collections
IC ID
Document
Title
Status
9628 Modified
246415 New
246414 New
246413 New
246412 New
246410 New
241889 Removed
241722 Removed
201977 Modified
194187 Removed
191246 Removed
191245 Removed
191244 Removed
184984 Modified
184982 Modified
179349 Modified
179348 Modified
179344 Modified
179343 Modified
179340 Modified
179338 Modified
ICR Details
0960-0618 202103-0960-010
Received in OIRA 202101-0960-004
SSA
Social Security Benefits Application
Revision of a currently approved collection   No
Regular 03/24/2021
  Requested Previously Approved
36 Months From Approved 04/30/2021
5,947,974 12,271,293
3,027,018 2,440,657
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 SSA–1, SSA–2, and SSA–16), 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.

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
   US Code: 42 USC 426 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  85 FR 86638 12/30/2020
86 FR 14170 03/12/2021
No

15
IC Title Form No. Form Name
Enhanced Leads and Appointment System (eLAS) Screens
Internet Social Security Benefits Application (iClaim SSA-2)
Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-1)
Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-16)
Internet Social Security Benefits Application (iClaim) - Domestic Applicants Third Party (SSA-1)
Internet Social Security Benefits Application (iClaim) - Domestic Applicants Third Party (SSA-16)
Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-1)
Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-16)
Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-1)
Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-16)
Medicare Part B Online Application - COVID-related
Medicare-only MCS SSA-1 screens
Medicare-only Paper Form SSA-1 SSA-1 Application for Retirement Insurance Benefits
Medicare-only iClaim
Paper Form SSA-1 (Application for Retirement Insurance Benefits) SSA-1 Application for Retirement Insurance Benefits
Paper Form SSA-16 (Application for Disability Insurance Benefits ) SSA-16 Application for Disability Insurance Benefits
Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) SSA-2 Application for Wife's or Husband's Insurance Benefits
SSA-1 MCS Signature Proxy
SSA-16 MCS Signature Proxy
SSA-2 MCS Signature Proxy
iAppointment

  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,947,974 12,271,293 0 -5,362,160 -961,159 0
Annual Time Burden (Hours) 3,027,018 2,440,657 0 -883,474 1,469,835 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
When we last cleared this Information Collection in 2017, the burden was 1,576,027 hours. However, we are currently reporting a burden of 1,383,743 hours. This change stems from a decrease in the number of responses from 7,103,513 to 5,947,974. There is a change to the number of responses due to the removal of the Medicare Only Application and the iAppointment System from this package. In addition, we also account for normal fluctuation in usage, and we included the travel time estimate in our calculations for the paper and MCS versions of the information collections. These figures represent current Management Information data.

$96,004,138
No
    Yes
    Yes
No
No
No
No
Faye Lipsky 410 965-8783 [email protected]

  No

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.
03/24/2021


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