Statement for Determining Continuing Eligibility

OMB 0960-0145

SSA uses Form SSA-8202-BK to conduct low and middle-error profile (LEP/MEP) telephone, or face-to-face redetermination interviews with SSI recipients and representative payees, if applicable. SSA conducts LEP redeterminations interviews on a 6-year cycle, and MEP redeterminations annually. SSA requires the information we collect during the interview to determine whether: (1) SSI recipients met, and continue to meet, all statutory and regulatory requirements for SSI eligibility; and (2) the SSI recipients received, and are still receiving, the correct payment amounts. This information includes non-medical eligibility factors such as income, resources, and living arrangements. To complete Form SSA-8202-BK, the respondents may need to obtain information from employers or financial institutions. The respondents are SSI recipients and their representatives, if applicable.

The latest form for Statement for Determining Continuing Eligibility expires 2022-07-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-8202-BK Statement for Determining Continuing Eligibility - Paper Form SSA-8202-BK Form
Addendum -0960-0145.docx Supplementary Document
Supporting Statement - 0960-0145 (final) .docx Supporting Statement A
Statement for Determining Continuing Eligibility - SSI Claims System Other-SSI Claims System - Intranet Screens
Statement for Determining Continuing Eligibility - Paper Form SSA-8202-BK Form

All Historical Document Collections

202203-0960-010	Revision of a currently approved collection	2022-06-21
201903-0960-003 Approved without change	Revision of a currently approved collection	2019-04-02
201807-0960-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2018-07-25
201601-0960-006 Approved without change	Revision of a currently approved collection	2016-03-15
201211-0960-001 Approved without change	Revision of a currently approved collection	2013-03-11
201001-0960-005 Approved without change	Revision of a currently approved collection	2010-03-11
200805-0960-014 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-05-19
200607-0960-019 Approved with change	Revision of a currently approved collection	2007-02-16
200409-0960-006 Approved without change	No material or nonsubstantive change to a currently approved collection	2004-09-29
200310-0960-007 Approved without change	Extension without change of a currently approved collection	2003-10-10
200212-0960-016 Approved without change	No material or nonsubstantive change to a currently approved collection	2002-12-23
200208-0960-005 Approved with change	Revision of a currently approved collection	2002-08-30
200108-0960-010 Approved without change	Revision of a currently approved collection	2001-08-17
200011-0960-003 Approved without change	Extension without change of a currently approved collection	2000-11-16
199710-0960-001 Approved without change	Revision of a currently approved collection	1997-10-01
199405-0960-003 Approved without change	Revision of a currently approved collection	1994-05-31
199302-0960-002 Approved without change	Extension without change of a currently approved collection	1993-02-01
198911-0960-001 Approved without change	Extension without change of a currently approved collection	1989-11-16
198906-0960-017 Approved with change	No material or nonsubstantive change to a currently approved collection	1989-06-16
198611-0960-005 Approved without change	Revision of a currently approved collection	1986-11-26
198408-0960-036 Approved with change	No material or nonsubstantive change to a currently approved collection	1984-08-02
198309-0960-003 Approved without change	Revision of a currently approved collection	1983-09-13
198207-0960-017 Approved with change	No material or nonsubstantive change to a currently approved collection	1982-07-21
197812-0960-007 Approved without change	Revision of a currently approved collection	1978-12-07
197709-0960-005 Approved without change	New collection (Request for a new OMB Control Number)	1977-09-27

OMB Details

Statement for Determining Continuing Eligibility - Paper Form SSA-8202-BK

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-8202

Statement for Determining Continuing Eligibility Supplemental Security Income Payment

Paper Only

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.