Information Collection

EDCS Screens/Interview - Full Version

IC 189923 under ICR 202111-0960-010 · OMB 0960-0072.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0072 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-454 - ADULT EDCS Screenshots (Revised Version).pdf	Other-Internal Use Screens
SSA-454 CHILD EDCS Screenshots (Revised Version).pdf	Other-Internal Use Screens
EDCS Screens - Adult CDR (Current Version).pdf Current EDCS Screens for Adult CDR	IC Document
EDCS Screens - Child CDR (Current Version).pdf Current EDCS Screens for Child CDR	IC Document

IC Title:

EDCS Screens/Interview - Full Version

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.989 20 CFR 404.1589

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-Internal Use Screens			SSA-454 - ADULT EDCS Screenshots (Revised Version).pdf		Yes	Yes	Fillable Fileable Signable
Other-Internal Use Screens			SSA-454 CHILD EDCS Screenshots (Revised Version).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: 270,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	270,500	0	270,500
Annual IC Time Burden (Hours)	2,407,450	2,136,950	270,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current EDCS Screens for Adult CDR	EDCS Screens - Adult CDR (Current Version).pdf	08/19/2022
Current EDCS Screens for Child CDR	EDCS Screens - Child CDR (Current Version).pdf	08/19/2022

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