0960-0444 - SSA-8001 Internet Claim Systems (iSSI) - Third Party

Supplemental Security Income Simplification Process Phase I (iSSI)

Documents and Forms

Document Name Document Type
SSA Journey screens.pdf www.ssa.gov Instruction
Internet SSI screen package - Third Party (Revised).pdf www.ssa.gov Other-Internet Screens

Information Collection (IC) Details

IC Title:	0960-0444 - SSA-8001 Internet Claim Systems (iSSI) - Third Party	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 404.601-404.603 20 CFR 416.207 20 CFR 416.210 20 CFR 416.301 20 CFR 416.360, Subpart C

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			SSA Journey screens.pdf	www.ssa.gov	Yes	Yes	Printable Only
Other-Internet Screens			Internet SSI screen package - Third Party (Revised).pdf	www.ssa.gov	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: 71,000	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	71,000	71,000
Annual IC Time Burden (Hours)	17,750	17,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.