Information Collection Request

Social Security Benefits Application

ICR 202411-0960-011 · OMB 0960-0618 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form SSA-16 Paper Form SSA-16 (Application for Disability Insurance Benefits ) Form and Instruction 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 Paper Form SSA-1 (Application for Retirement Insurance Benefits) Form Unchanged Repair queued
Justification for Non-Substantive Changes - 0960-0618.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-11-26 Repair queued
Supporting Statement - 0618 (Final).docx Supporting Statement A Uploaded 2022-08-11 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
9628 Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-1) Other-Internet Screens Modified
272179 Disability Determination Ready Claim (DDRC) Certification Statement (for DDRC Pilot) Other-Certification Statement Unchanged
246415 Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-16) Other-Internet Screens Modified
246414 Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-16) Other-Internet Screens Modified
246413 Internet Social Security Benefits Application (iClaim) - Domestic Applicants Third Party (SSA-16) Other-Internet Screens Modified
246412 Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-16) Other-Internet Screens Modified
246410 Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-1) Other-Internet Screens Modified
201977 Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-1) Other-Internet Screens Modified
184984 Internet Social Security Benefits Application (iClaim SSA-2) Other-Internet Screens Modified
184982 Internet Social Security Benefits Application (iClaim) - Domestic Applicants Third Party (SSA-1) Other-Internet Screens Modified
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 Unchanged
179343 SSA-2 MCS Signature Proxy Other-MCS Signature Proxy Screens Unchanged
179340 Paper Form SSA-1 (Application for Retirement Insurance Benefits) Form Unchanged
179338 SSA-1 MCS Signature Proxy Other-MCS/Signature Proxy Modified
ICR Details
0960-0618 202411-0960-011
Received in OIRA 202411-0960-002
SSA
Social Security Benefits Application
No material or nonsubstantive change to a currently approved collection   No
Regular 11/26/2024
  Requested Previously Approved
04/30/2025 04/30/2025
7,956,950 7,956,950
3,060,501 3,060,501
0 0

Title II of the Social Security Act provides retirement, survivors, and disability benefits to members of the public who meet the required eligibility criteria and file the appropriate application. This collection comprises the various application methods for the retirement, survivors, and disability benefits. These methods include the following modalities: paper forms (Forms SSA–1, SSA–2, and SSA–16), Modernized Claims System (MCS) screens for in-person interview applications, as well as the Internet-based iClaim and iAppointment applications allowing the public to apply electronically. SSA uses the information collected using these modalities to determine: (1) the applicants' eligibility for the above-mentioned Social Security benefits, and (2) the amount of the benefits. The respondents are applicants for retirement, survivors, and disability benefits under Title II of the Act, their representatives, and in some instances, applicants for SSI payments or their representatives who are requesting to file for SSI through iClaim. We are submitting a Change Request to utilize the Consolidated Claims Experience (CCE) System as a new collection tool and make one minor informational revision to the iClaim Electronic Signature screen.

US Code: 42 USC 1395j Name of Law: Social Security Act
   US Code: 42 USC 1395o Name of Law: Social Security Act
   US Code: 42 USC 402 Name of Law: Social Security Act
   US Code: 42 USC 423 Name of Law: Social Security Act
   US Code: 42 USC 426 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  85 FR 86638 12/30/2020
86 FR 14170 03/12/2021
No

  Total Request 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 7,956,950 0 0 0 0
Annual Time Burden (Hours) 3,060,501 3,060,501 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$96,004,138
No
    Yes
    Yes
No
No
No
No
Faye Lipsky 410 965-8783 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/26/2024