Statement for Determining Continuing Eligibility

OMB 0960-0145

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.

All Historical Document Collections
Revision of a currently approved collection 2022-06-21
Approved without change
Revision of a currently approved collection 2019-04-02
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-07-25
Approved without change
Revision of a currently approved collection 2016-03-15
Approved without change
Revision of a currently approved collection 2013-03-11
Approved without change
Revision of a currently approved collection 2010-03-11
Approved without change
No material or nonsubstantive change to a currently approved collection 2008-05-19
Approved with change
Revision of a currently approved collection 2007-02-16
Approved without change
No material or nonsubstantive change to a currently approved collection 2004-09-29
Approved without change
Extension without change of a currently approved collection 2003-10-10
Approved without change
No material or nonsubstantive change to a currently approved collection 2002-12-23
Approved with change
Revision of a currently approved collection 2002-08-30
Approved without change
Revision of a currently approved collection 2001-08-17
Approved without change
Extension without change of a currently approved collection 2000-11-16
Approved without change
Revision of a currently approved collection 1997-10-01
Approved without change
Revision of a currently approved collection 1994-05-31
Approved without change
Extension without change of a currently approved collection 1993-02-01
Approved without change
Extension without change of a currently approved collection 1989-11-16
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-06-16
Approved without change
Revision of a currently approved collection 1986-11-26
Approved with change
No material or nonsubstantive change to a currently approved collection 1984-08-02
Approved without change
Revision of a currently approved collection 1983-09-13
Approved with change
No material or nonsubstantive change to a currently approved collection 1982-07-21
Approved without change
Revision of a currently approved collection 1978-12-07
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-8202Statement for Determining Continuing Eligibility Supplemental Security Income PaymentPaper OnlyForm

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


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