OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

ICR 202402-0960-006 · OMB 0960-0838 · Public filing

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-L5063 (to SSA- Statement about Food or Shelter Provided to Another Form New Available
Form SSA-L506 Statement about Food or Shelter Provided to Another Form New Available
Form SSA-L506 0960-0529 - SSA-L5063 (Paper Version) Form New Repair queued
Form SSA-5062 (to SSA-5 Claimant's Statement About Loan Of Food Or Shelter Form and Instruction New Available
Form SSA-5062 Claimant's Statement About Loan Of Food Or Shelter Form and Instruction New Available
Form SSA-5062 0960-0529 - SSA-5062 (Paper Version) Form and Instruction New Repair queued
Form SSA-8011 (to Form Statement of Household Expense and Contributions Form and Instruction New Available
Form SSA-8011 Statement of Household Expense and Contributions Form and Instruction New Available
Form SSA-8011 0960-0456 - SSA-8011 (Paper Version) Form and Instruction New Repair queued
Form SSA-8203 (Effectiv Statement for Determining Continuing Eligibility for Supplemental Security Income Payment Form and Instruction New Available
Form SSA-8203 Statement for Determining Continuing Eligibility for Supplemental Security Income Payments Form and Instruction New Available
Form SSA-8203 0960-0416 - SSA-8203 (Paper Version) Form and Instruction New Repair queued
Form SSA-8000-BK (effec Application for Supplemental Security Income Form and Instruction New Available
Form SSA-8000-BK Application for Supplemental Security Income Form and Instruction New Available
Form SSA-8000-BK 0960-0229 - SSA-8000-BK (Paper Version) Form and Instruction New Repair queued
Form SSA-8006 (to SSA-8 Statement of Living Arrangements, In-Kind Support and Maintenance Form and Instruction New Available
Form SSA-8006 Statement of Living Arrangements, In-Kind Support and Maintenance Form and Instruction New Available
Form SSA-8006 0960-0174 - SSA-8006 (Paper Version) Form and Instruction New Repair queued
Form SSA-8202 (Effectiv Statement for Determining Continuing Eligibility for Supplemental Security Income Payment Form and Instruction New Available
Form SSA-8202 Statement for Determining Continuing Eligibility for Supplemental Security Income Payment Form and Instruction New Available
Form SSA-8202 0960-0145 - SSA-8202 (Paper Form) Form and Instruction New Repair queued
Supporting Statement - 0960-NEW (Omitting Food from ISM Calculations).docx Supporting Statement A Uploaded 2024-03-27 Repair queued
Addendum - 0960-NEW (Omitting Food from ISM Calculations).docx Supplementary Document Uploaded 2024-03-27 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
265549 SSA-L5063 (SSI Claims System Screens) Other-Intranet Screens New
265548 0960-0529 - SSA-L5063 (Paper Version) Form NewStatement about Food or Shelter Provided to Another
265548 0960-0529 - SSA-L5063 (Paper Version) Form NewStatement about Food or Shelter Provided to Another
265548 0960-0529 - SSA-L5063 (Paper Version) Form New
265547 0960-0529 - SSA-5062 (SSI Claims System Screens) Other-Intranet Screens New
265545 0960-0529 - SSA-5062 (Paper Version) Form and Instruction NewClaimant's Statement About Loan Of Food Or Shelter
265545 0960-0529 - SSA-5062 (Paper Version) Form and Instruction NewClaimant's Statement About Loan Of Food Or Shelter
265545 0960-0529 - SSA-5062 (Paper Version) Form and Instruction New
265543 0960-0456 - SSA-8011 (SSI Claims System Screens) Other-Intranet Screens New
265542 0960-0456 - SSA-8011 (Paper Version) Form and Instruction NewStatement of Household Expense and Contributions
265542 0960-0456 - SSA-8011 (Paper Version) Form and Instruction NewStatement of Household Expense and Contributions
265542 0960-0456 - SSA-8011 (Paper Version) Form and Instruction New
265540 0960-0416 - SSA-8203 (SSI Claims System Screens) Other-Intranet Screens New
265539 0960-0416 - SSA-8203 (Paper Version) Form and Instruction NewStatement for Determining Continuing Eligibility for Supplemental Security Income Payment
265539 0960-0416 - SSA-8203 (Paper Version) Form and Instruction NewStatement for Determining Continuing Eligibility for Supplemental Security Income Payments
265539 0960-0416 - SSA-8203 (Paper Version) Form and Instruction New
265519 0960-0229 - SSA-8000-BK (SSI Claims System Screens) Other-Intranet Screens New
265516 0960-0229 - SSA-8000-BK (Paper Version) Form and Instruction NewApplication for Supplemental Security Income
265516 0960-0229 - SSA-8000-BK (Paper Version) Form and Instruction NewApplication for Supplemental Security Income
265516 0960-0229 - SSA-8000-BK (Paper Version) Form and Instruction New
265515 0960-0174 - SSA-8006 (SSI Claims System Screens) Other-Intranet Screens New
265514 0960-0174 - SSA-8006 (Paper Version) Form and Instruction NewStatement of Living Arrangements, In-Kind Support and Maintenance
265514 0960-0174 - SSA-8006 (Paper Version) Form and Instruction NewStatement of Living Arrangements, In-Kind Support and Maintenance
265514 0960-0174 - SSA-8006 (Paper Version) Form and Instruction New
265510 0960-0145 - SSA-8202 (SSI Claims System Screens) Other-Intranet Screens New
265505 0960-0145 - SSA-8202 (Paper Form) Form and Instruction NewStatement for Determining Continuing Eligibility for Supplemental Security Income Payment
265505 0960-0145 - SSA-8202 (Paper Form) Form and Instruction NewStatement for Determining Continuing Eligibility for Supplemental Security Income Payment
265505 0960-0145 - SSA-8202 (Paper Form) Form and Instruction New

ICR Details

Record metadata
OMB Control No0960-0838