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Federal forms, ICRs, and supporting documents

Information Collection

0960-0145 - SSA-8202 (Paper Form)

IC 265505 under ICR 202402-0960-006 · OMB 0960-0838.

Documents and Forms
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Form and Instruction
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Information Collection (IC) Details

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0960-0145 - SSA-8202 (Paper Form)
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1102-416.1104 20 CFR 416.202 20 CFR 416.1121 20 CFR 416.1130 20 CFR 416.1201(a)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-8202 Statement for Determining Continuing Eligibility for Supplemental Security Income Payment SSA-8202 - Revised Version.pdf www.ssa.gov Yes No Fillable Printable
Form and Instruction SSA-8202 (Effective 9/30/24) Statement for Determining Continuing Eligibility for Supplemental Security Income Payment SSA-8202 (revisions effective 9-30-2024).pdf www.ssa.gov Yes No Fillable Fileable Signable

Income Security General Retirement and Disability

 

67,698 0
   
Individuals or Households
 
   0 %

  Approved 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 67,698 67,698 0 0 0 0
Annual IC Time Burden (Hours) 49,645 49,645 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-8202 SSA-8202 - Current Version.pdf 02/21/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.