OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-1)

IC 246410 under ICR 202411-0960-011 · OMB 0960-0618.

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

View Information Collection (IC)

Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-1)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.601-404.603 20 CFR 404.310-404.311 20 CFR 404.1501-404.1512 20 CFR 404.330-404.333 20 CFR 404.315-404.322 20 CFR 404.460; 404.463 20 CFR 404.401(b)(1) 20 CFR 404.415 & 404.417 20 CFR 422.505(b) 42 CFR 407.27(c) 31 CFR 210

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internet Screens iClaim Screen Package - Current Screens.pdf www.ssa.gov Yes No Fillable Fileable Signable
Other-Revised Internet Screens Revised iClaim Electronic Signature Agreement (new warning language).pdf www.ssa.gov Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

645 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 645 0 0 0 0 645
Annual IC Time Burden (Hours) 194 0 0 0 0 194
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current iClaim Electronic Signature Agreement Screen Current iClaim Electronic Signature Agreement.pdf 11/26/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.