Information Collection Request

Social Security Benefits Application

ICR 202502-0960-015 · 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 Modified Repair queued
Form SSA-2 Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) Form Modified Repair queued
Form SSA-1 Paper Form SSA-1 (Application for Retirement Insurance Benefits) Form Modified Repair queued
Addendum - 0618.docx Supplementary Document Uploaded 2025-03-18 Repair queued
Supporting Statement - 0618.docx Supporting Statement A Uploaded 2025-03-18 Available
IC Document Collections
IC IDCollectionTypeStatusForm
9628 Internet Social Security Benefits Application (iClaim) - First Party (SSA-1) Other-Internet Screens Modified
274466 SSA-16 MCS Signature Proxy - In-Office Interview Other-Internal Screens New
274465 SSA-2 MCS Signature Proxy - In-Office Interview Other-Internal Screens New
274463 SSA-1 MCS Signature Proxy - In-Office Interview Other-Internal Screens New
272179 Disability Determination Ready Claim (DDRC) Certification Statement (for DDRC Pilot) Other-Certification Statement Modified
246415 Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-16) Other-Internet Screens Removed
246414 Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-16) Other-Internet Screens Removed
246413 Internet Social Security Benefits Application (iClaim) - Third Party (SSA-16) Other-Internet Screens Modified
246412 Internet Social Security Benefits Application (iClaim) - First Party (SSA-16) Other-Internet Screens Modified
246410 Internet Social Security Benefits Application (iClaim) - Foreign Applicants Third Party (SSA-1) Other-Internet Screens Removed
201977 Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-1) Other-Internet Screens Removed
184984 Internet Social Security Benefits Application - First Party (SSA-2) Other-Internet Screens Modified
184982 Internet Social Security Benefits Application (iClaim) - Third Party (SSA-1) Other-Internet Screens Modified
179349 Paper Form SSA-16 (Application for Disability Insurance Benefits) Form and Instruction Modified
179348 SSA-16 MCS Signature Proxy - Phone Interview Other-Internal Screens Modified
179344 Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) Form Modified
179343 SSA-2 MCS Signature Proxy - Phone Interview Other-Internal Screens Modified
179340 Paper Form SSA-1 (Application for Retirement Insurance Benefits) Form Modified
179338 SSA-1 MCS Signature Proxy - Phone Interview Other-Internal Screens Modified
ICR Details
0960-0618 202502-0960-015
Received in OIRA 202411-0960-011
SSA
Social Security Benefits Application
Revision of a currently approved collection   No
Regular 03/18/2025
  Requested Previously Approved
36 Months From Approved 04/30/2025
8,176,597 7,956,950
3,347,312 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.

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

  90 FR 3986 01/15/2025
90 FR 11771 03/11/2025
No

15
IC Title Form No. Form Name
Disability Determination Ready Claim (DDRC) Certification Statement (for DDRC Pilot)
Internet Social Security Benefits Application (iClaim) - First Party (SSA-1)
Internet Social Security Benefits Application (iClaim) - First 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)
Internet Social Security Benefits Application (iClaim) - Third Party (SSA-1)
Internet Social Security Benefits Application (iClaim) - Third Party (SSA-16)
Internet Social Security Benefits Application - First Party (SSA-2)
Paper Form SSA-1 (Application for Retirement Insurance Benefits) SSA-1 Application for Retirement Insurance Benefits
Paper Form SSA-16 (Application for Disability Insurance Benefits) SSA-16 Application for Disability Insurance Benefits
Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) SSA-2 Application for Wife's or Husband's Insurance Benefits
SSA-1 MCS Signature Proxy - In-Office Interview
SSA-1 MCS Signature Proxy - Phone Interview
SSA-16 MCS Signature Proxy - In-Office Interview
SSA-16 MCS Signature Proxy - Phone Interview
SSA-2 MCS Signature Proxy - In-Office Interview
SSA-2 MCS Signature Proxy - Phone Interview

  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 8,176,597 7,956,950 0 -1,549 221,196 0
Annual Time Burden (Hours) 3,347,312 3,060,501 0 -465 287,276 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
When we last cleared this Information Collection in 2020, the burden was 1,383,743 hours. However, we are currently reporting a burden of 1,443,157 hours. This change stems from an increase in the number of responses from 5,947,974 to 6,167,621. There is a change to the number of responses due to the increase in Internet/iClaim filings. These figures represent current Management Information data. * Note: The total burden reflected in ROCIS is 3,347,312, while the burden cited in #12 of the Supporting Statement is 1,443,157. This discrepancy is because the ROCIS burden reflects the following components: field office waiting time + a rough estimate of a 30 minute, one-way, drive burden + learning costs. In contrast, the chart in #12 of the Supporting Statement reflects actual burden.

$5,763,320,170
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.
03/18/2025