0960-0229 - SSA-8000-BK (SSI Claims System Screens)

Omitting Food From In-Kind Support and Maintenance Calculations

OMB: 0960-0838

IC ID: 265519

Documents and Forms
Document Name
Document Type
Other-Intranet Screens
Other-Intranet Screens
Information Collection (IC) Details

View Information Collection (IC)

0960-0229 - SSA-8000-BK (SSI Claims System Screens)
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1102-416.1104 20 CFR 416.1121 20 CFR 416.1130 20 CFR 416.202 20 CFR 416.1201(a)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Intranet Screens SSI Claim Screen Package - Full Initial Claim.docx Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

1,646,520 0
   
Individuals or Households
 
   100 %

  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 1,646,520 1,646,520 0 0 0 0
Annual IC Time Burden (Hours) 1,509,310 1,509,310 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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