Information Collection

0960-0174 SSA-8006 (SSI Claims System)

IC 262443 under ICR 202403-0960-007 · OMB 0960-0835.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SSI Claim System - SSA-8006.pdf	Other-Intranet Screens
SSI Claim System - SSA-8006.pdf	Other-Intranet Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

0960-0174 SSA-8006 (SSI Claims System)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1102 20 CFR 416.1104 20 CFR 416.1110 20 CFR 416.1120 20 CFR 416.1130-416.1148 20 CFR 416.1160-416.1161 20 CFR 416.1201 20 CFR 416.1100

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			SSI Claim System - SSA-8006.pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 109,436

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 Agency Discretion
Annual Number of Responses for this IC	109,436	109,436
Annual IC Time Burden (Hours)	109,436	109,436
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.