SSA-7162-OCR-SM--Report to U.S. SSA

Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA

Documents and Forms

Document Name Document Type
Form SSA-7162-OCR-SM SSA-7162-OCR-SM--Report to U.S. SSA Form and Instruction
SSA-7162-INST.pdf Instruction
SSA-7162-OCR-SM Report to United States Social Security Administration SSA-7162 -OCR-SM (revised).pdf Form and Instruction
SSA-7162-OCR-SM (current).pdf SSA-7162-OCR-SM (current) IC Document

Information Collection (IC) Details

IC Title:	SSA-7162-OCR-SM--Report to U.S. SSA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-7162-OCR-SM	Report to United States Social Security Administration	SSA-7162 -OCR-SM (revised).pdf		No		Fillable Printable
Instruction			SSA-7162-INST.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 352,956	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	352,956	-73,492	426,448
Annual IC Time Burden (Hours)	517,669	482,132	35,537
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-7162-OCR-SM (current)	SSA-7162-OCR-SM (current).pdf	01/07/2026

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