0960-0618 - SSA-16 Internet Screens Third Party (iClaim)

Third Party Screens
Modified Screen #1

We modified the
language for the question
about disability to add
“substantial gainful
work”

We added the language to help
applicants provide a better
estimate of when their
condition(s) potentially affected
them. The explanation will help
applicants to provide us with
the earliest date their disability
1
started

Modified Screen #2

We removed the question to indicate the “Best time
to call” to avoid limiting applicants to specific times
as they may think we are only going to try to contact
them once. This also removes the issues about
different time zones as applicants and technicians
may be in different areas.

2

Modified Screen #3

We removed the question to indicate the “Best time
to call” to avoid limiting applicants to specific times
as they may think we are only going to try to contact
them once. This also removes the issues about
different time zones as applicants and technicians
may be in different areas.

3

Modified Screen #4

We removed the option to provide their
Permanent Resident Card number, as the
information is not needed at the time of filing

4

Modified Screen #5

We updated the page “Other
Names and SSNs” to
remove the reference about
SSNs as the information is
not needed to file an
application

5

Modified Screen #6

We updated the language under the “Review
Information” section to inform applicants that
we will use the information provided for the
numberholder’s Disability and SSI applications.
We will also display any answers provided for
the SSI portion of the application for them to
review and edit as needed. The SSI questions
are reported under OMB No. 0960-0444.

We removed the question to indicate the “Best time
to call” to avoid limiting applicants to specific times
as they may think we are only going to try to
contact them once. This also removes the issues
about different time zones as applicants and
technicians may be in different areas. We also
added an option for an applicant to provide an email
address.

6