Information Collection

Revisions to 0960-0174 SSA-8006 (SSI Claims System) based on the NPRM

IC 261641 under ICR 202308-0960-006 · OMB 0960-0831.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0831 can be found here:

Documents and Forms

Document Name Document Type
SSI claim system - SSA-8006 (0960-0174).pdf Other-SSI Claim System Screens
SSI claim system - SSA-8006 (0960-0174).pdf Other-SSI Claim System Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Revisions to 0960-0174 SSA-8006 (SSI Claims System) based on the NPRM	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1100 20 CFR 416.1101 20 CFR 416.1102 20 CFR 416.1130

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-SSI Claim System Screens			SSI claim system - SSA-8006 (0960-0174).pdf		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 109,436	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	109,436	109,436
Annual IC Time Burden (Hours)	10,944	10,944
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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