Information Collection

0960-0456 - SSA-8011 (SSI Claims System Screens)

IC 265543 under ICR 202402-0960-006 · OMB 0960-0838.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSA-8011 - Current SSI Claims System Screens.pdf	Other-Intranet Screens
SSA-8011 - Current SSI Claims System Screens.pdf	Other-Intranet Screens

IC Title:

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 416.1102-416.1104 20 CFR 416.1121 20 CFR 416.202 20 CFR 416.1130 20 CFR 416.1201(a)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Intranet Screens			SSA-8011 - Current SSI Claims System Screens.pdf		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: 398,759

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	398,759	398,759
Annual IC Time Burden (Hours)	93,044	93,044
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.