OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Supplemental Security Income (SSI)

OMB 0960-0229 · SSA.

OMB 0960-0229

The SSI program provides aged, blind, and disabled individuals who have little or no income with funds for food, clothing, and shelter. There are two ways respondents can apply for SSI. Individuals may obtain and complete the SSA-8000-BK application paper form, or via personal interview, during which the SSA employee will enter the applicant’s data directly into the SSI Claims System. SSA uses the information gathered to: (1) determine whether claimants meet all statutory and regulatory requirements for SSI eligibility; and (2) calculate SSI payment amounts. The respondents are SSI applicants or their authorized representative.

The latest form for Application for Supplemental Security Income (SSI) expires 2027-09-30 and is listed under ICR 202109-0960-001.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-8000-BK Application for Supplemental Security Income (SSI)Form
Form SSA-8000-BK Application for Supplemental Security Income--SSA-8000-BK (Paper Form)Form
Addendum - 0229 (Final).docxSupplementary Document
Addendum - 0229 (Final).docx Supplementary Document
Supporting Statement - 0229 (Final).docxSupporting Statement A
Supporting Statement - 0229 (Final).docxSupporting Statement A
Application for Supplemental Security Income--SSI Claims System/Signature Proxy Other-Internal Screens
Application for Supplemental Security Income--SSA-8000-BK (Paper Form) Form
Application for Supplemental Security Income--SSA-8000-BK (Paper Form) Form
Application for Supplemental Security Income--SSA-8000-BK (Paper Form) Other-Revised PA & PRA Statements

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202109-0960-001 Revision of a currently approved collection 2021-12-03
202105-0960-005 No material or nonsubstantive change to a currently approved collection 2021-05-07 Approved without change
201907-0960-001 No material or nonsubstantive change to a currently approved collection 2019-07-09 Approved without change
201902-0960-010 No material or nonsubstantive change to a currently approved collection 2019-02-13 Approved without change
201807-0960-006 Revision of a currently approved collection 2018-11-05 Approved without change
201703-0960-018 No material or nonsubstantive change to a currently approved collection 2017-03-27 Approved without change
201604-0960-009 Revision of a currently approved collection 2016-09-02 Approved without change
201406-0960-005 Revision of a currently approved collection 2014-10-15 Approved without change
201104-0960-008 Revision of a currently approved collection 2011-08-04 Approved without change
200907-0960-011 No material or nonsubstantive change to a currently approved collection 2009-07-28 Approved without change
200902-0960-017 No material or nonsubstantive change to a currently approved collection 2009-02-19 Approved without change
200803-0960-020 Revision of a currently approved collection 2008-06-24 Approved without change
200705-0960-014 No material or nonsubstantive change to a currently approved collection 2007-06-07 Approved without change
200608-0960-015 No material or nonsubstantive change to a currently approved collection 2006-08-31 Approved without change
200503-0960-004 Revision of a currently approved collection 2005-03-11 Approved with change
200403-0960-002 Revision of a currently approved collection 2004-03-05 Approved without change
200301-0960-002 Revision of a currently approved collection 2003-01-03 Approved with change
199912-0960-003 Extension without change of a currently approved collection 1999-12-15 Approved without change
199909-0960-011 No material or nonsubstantive change to a currently approved collection 1999-09-24 Approved without change
199611-0960-002 Extension without change of a currently approved collection 1996-11-05 Approved without change
199605-0960-013 No material or nonsubstantive change to a currently approved collection 1996-05-29 Approved without change
199309-0960-006 Extension without change of a currently approved collection 1993-09-30 Approved without change
199209-0960-009 Revision of a currently approved collection 1992-09-14 Approved without change
199109-0960-004 Revision of a currently approved collection 1991-09-30 Approved without change
198811-0960-003 Revision of a currently approved collection 1988-11-01 Approved without change
198709-0960-014 No material or nonsubstantive change to a currently approved collection 1987-09-01 Approved with change
198607-0960-008 No material or nonsubstantive change to a currently approved collection 1986-07-24 Approved with change
198606-0960-014 No material or nonsubstantive change to a currently approved collection 1986-06-04 Approved with change
198512-0960-008 Extension without change of a currently approved collection 1985-12-20 Approved without change
198301-0960-010 Revision of a currently approved collection 1983-01-26 Approved without change
198011-0960-007 New collection (Request for a new OMB Control Number) 1980-11-20 Approved without change

OMB Details

Application for Supplemental Security Income--SSI Claims System/Signature Proxy

Federal Enterprise Architecture: Income Security - General Retirement and Disability