OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

EDCS Screens/Interview - Full Version

IC 189923 under ICR 202506-0960-004 · OMB 0960-0072.

Documents and Forms
Document Name
Document Type
Other-Internal Use Screens
Other-Internal Use Screens
Other-Internal Use Screens
Other-Internal Use Screens
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

EDCS Screens/Interview - Full Version
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.989 20 CFR 404.1589

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internal Use Screens SSA-454 EDCS Screenshots - Adult (Revised Version).pdf Yes Yes Fillable Fileable Signable
Other-Internal Use Screens SSA-454 CHILD EDCS Screenshots (Revised Version).pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

267,975 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 267,975 0 0 -2,525 0 270,500
Annual IC Time Burden (Hours) 2,925,394 0 0 517,944 0 2,407,450
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current EDCS Screens for Adult CDR SSA-454 EDCS Screenshorts - Adult (Current Version).pdf 01/09/2026
Current EDCS Screens for Child CDR SSA-454 EDCS Screenshorts - Child (Current Version).pdf 01/09/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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