Information Collection Request

Social Security Benefits Application

ICR 202208-0960-002 · OMB 0960-0618 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-16 Paper Form SSA-16 (Application for Disability Insurance Benefits ) Form and Instruction Modified Repair queued
Form SSA-2 Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) Form Modified Repair queued
Form SSA-1 Paper Form SSA-1 (Application for Retirement Insurance Benefits) Form Modified Available
Justification for Non-Substantive Changes - 0960-0618.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-08-11 Repair queued
Supporting Statement - 0618 (Final).docx Supporting Statement A Uploaded 2022-08-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9628 Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-1) Other-Internet Screens Unchanged
246415 Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-16) Other-Internet Screens Modified
246414 Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-16) Other-Internet Screens Modified
246413 Internet Social Security Benefits Application (iClaim) - Domestic Applicants Third Party (SSA-16) Other-Internet Screens Modified
246412 Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-16) Other-Internet Screens Modified
246410 Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-1) Other-Internet Screens Modified
201977 Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-1) Other-Internet Screens Modified
184984 Internet Social Security Benefits Application (iClaim SSA-2) Other-Internet Screens Modified
184982 Internet Social Security Benefits Application (iClaim) - Domestic Applicants Third Party (SSA-1) Other-Internet Screens Modified
179349 Paper Form SSA-16 (Application for Disability Insurance Benefits ) Form and Instruction Modified
179348 SSA-16 MCS Signature Proxy Other-MCS/Signature Proxy Unchanged
179344 Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) Form Modified
179343 SSA-2 MCS Signature Proxy Other-MCS Signature Proxy Screens Unchanged
179340 Paper Form SSA-1 (Application for Retirement Insurance Benefits) Form Modified
179338 SSA-1 MCS Signature Proxy Other-MCS/Signature Proxy Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
04/30/2025 04/30/2025
5,947,974 5,947,974
3,027,018 3,027,018
0 0





table that charts list of burden
  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 5,947,974 0 0 0 0
Annual Time Burden (Hours) 3,027,018 3,027,018 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No