Information Collection

Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-16)

IC 246414 under ICR 202502-0960-015 · OMB 0960-0618.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
iClaim Screen Package - Current Screens.pdf www.ssa.gov	Other-Internet Screens
iClaim Screen Package - Current Screens.pdf www.ssa.gov	Other-Internet Screens
Revised iClaim Electronic Signature Agreement (new warning language).pdf www.ssa.gov	Other-Revised Internet Screens
Revised iClaim Electronic Signature Agreement (new warning language).pdf www.ssa.gov	Other-Revised Internet Screens
Current iClaim Electronic Signature Agreement.pdf Current iClaim Electronic Signature Agreement Screen	IC Document
Current iClaim Electronic Signature Agreement.pdf Current iClaim Electronic Signature Agreement Screen	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Internet Social Security Benefits Application (iClaim) - Foreign Applicants First Party (SSA-16)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 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 20 CFR 404.310-404.311 20 CFR 404.330-404.333 20 CFR 404.1501-404.1512 20 CFR 404.315-404.322 20 CFR 404.460; 404.463 20 CFR 404.601-404.603

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	No	Fillable Fileable Signable
Other-Revised Internet Screens				www.ssa.gov	Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 781

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-781	781
Annual IC Time Burden (Hours)	-234	234
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current iClaim Electronic Signature Agreement Screen		11/26/2024

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

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