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Federal forms, ICRs, and supporting documents

Information Collection

Statement for Determining Continuing Eligibility for Supplemental Security Income Payments –- SSI Claims System

IC 178983 under ICR 202209-0960-003 · OMB 0960-0416.

Documents and Forms
Document Name
Document Type
Other-Internal Use Screens
Information Collection (IC) Details

View Information Collection (IC)

Statement for Determining Continuing Eligibility for Supplemental Security Income Payments –- SSI Claims System
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.204

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internal Use Screens SSI Claims System.pdf Yes Yes Fillable Printable

Income Security General Retirement and Disability

 

1,918,702 0
   
Individuals or Households
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,918,702 0 0 450,482 0 1,468,220
Annual IC Time Burden (Hours) 1,566,940 0 0 1,102,004 0 464,936
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.