Information Collection

Internet Social Security Benefits Application - First Party (SSA-2)

IC 184984 under ICR 202502-0960-015 · OMB 0960-0618.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
iClaim Screen- Apply for Benefits.pdf www.ssa.gov	Other-Internet Screens
iClaim Screen- Apply for Benefits.pdf www.ssa.gov	Other-Internet Screens
iClaim Screen - Other Pensions and Annuities.pdf www.ssa.gov	Other-Internet Screens
iClaim Screen - Other Pensions and Annuities.pdf www.ssa.gov	Other-Internet Screens
iClaim Screen Package (current).pdf Current iClaim Screens	IC Document
iClaim Screen Package (current).pdf Current iClaim Screens	IC Document

IC Title:

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 404.310-404.311 20 CFR 404.315-404.322 20 CFR 404.330-404.333 20 CFR 404.601-404.603 20 CFR 404.1501-404.1512

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-Internet Screens				www.ssa.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screens				www.ssa.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 119,129

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	119,129	-5,370	124,499
Annual IC Time Burden (Hours)	47,652	16,527	31,125
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current iClaim Screens		03/18/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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