Information Collection Request

Social Security Benefits Application

ICR 202411-0960-002 · OMB 0960-0618 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-16 Application for Disability Insurance Benefits Form and Instruction Unchanged Available
Form SSA-16 Paper Form SSA-16 (Application for Disability Insurance Benefits ) Form and Instruction Unchanged Available
Form SSA-2 Application for Wife's or Husband's Insurance Benefits Form Unchanged Available
Form SSA-2 Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) Form Unchanged Repair queued
Form SSA-1 Application for Retirement Insurance Benefits Form Unchanged Available
Form SSA-1 Paper Form SSA-1 (Application for Retirement Insurance Benefits) Form Unchanged Repair queued
Justification for a Non-Substantive Change - 0618 (DDRC Certification).docx Justification for No Material/Nonsubstantive Change Uploaded 2024-11-06 Available
Justification for a Non-Substantive Change - 0618 (DDRC Certification).docx Justification for No Material/Nonsubstantive Change Uploaded 2024-11-06 Repair queued
Supporting Statement - 0618 (Final).docx Supporting Statement A Uploaded 2022-08-11 Repair queued
Supporting Statement - 0618 (Final).docx Supporting Statement A Uploaded 2022-08-11 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9628 Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-1) Other-Internet Screens Unchanged
272179 Disability Determination Ready Claim (DDRC) Certification Statement (for DDRC Pilot) Other-Certification Statement New
246415 Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-16) Unchanged
246414 Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-16) Unchanged
246413 Internet Social Security Benefits Application (iClaim) - Domestic Applicants Third Party (SSA-16) Unchanged
246412 Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-16) Unchanged
246410 Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-1) Unchanged
201977 Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-1) Unchanged
184984 Internet Social Security Benefits Application (iClaim SSA-2) Unchanged
184982 Internet Social Security Benefits Application (iClaim) - Domestic Applicants Third Party (SSA-1) Unchanged
179349 Paper Form SSA-16 (Application for Disability Insurance Benefits ) Form and Instruction UnchangedApplication for Disability Insurance Benefits
179349 Paper Form SSA-16 (Application for Disability Insurance Benefits ) Form and Instruction Unchanged
179348 SSA-16 MCS Signature Proxy Other-MCS/Signature Proxy Unchanged
179344 Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) Form UnchangedApplication for Wife's or Husband's Insurance Benefits
179344 Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) Form Unchanged
179343 SSA-2 MCS Signature Proxy Other-MCS Signature Proxy Screens Unchanged
179340 Paper Form SSA-1 (Application for Retirement Insurance Benefits) Form UnchangedApplication for Retirement Insurance Benefits
179340 Paper Form SSA-1 (Application for Retirement Insurance Benefits) Form Unchanged
179338 SSA-1 MCS Signature Proxy Other-MCS/Signature Proxy Unchanged

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
04/30/2025 04/30/2025 04/30/2025
7,956,950 0 5,947,974
3,060,501 0 3,027,018
0 0 0





Reginfo record details
16
table that charts list of burden
IC Title Form No. Form Name
Disability Determination Ready Claim (DDRC) Certification Statement (for DDRC Pilot)
Internet Social Security Benefits Application (iClaim SSA-2)
Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-1)
Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-16)
Internet Social Security Benefits Application (iClaim) - Domestic Applicants Third Party (SSA-1)
Internet Social Security Benefits Application (iClaim) - Domestic Applicants Third Party (SSA-16)
Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-1)
Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-16)
Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-1)
Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-16)
Paper Form SSA-1 (Application for Retirement Insurance Benefits) SSA-1
Paper Form SSA-16 (Application for Disability Insurance Benefits ) SSA-16
Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) SSA-2
SSA-1 MCS Signature Proxy
SSA-16 MCS Signature Proxy
SSA-2 MCS Signature Proxy

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 7,956,950 5,947,974 0 2,008,976 0 0
Annual Time Burden (Hours) 3,060,501 3,027,018 0 33,483 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No