OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Statement for Determining Continuing Eligibility for Supplemental Security Income Payments

OMB 0960-0416 · SSA.

OMB 0960-0416

To determine whether SSI recipients (1) have met and continue to meet all statutory and regulatory requirements for SSI eligibility, and (2) are receiving the correct SSI payment amount, SSA conducts redeterminations of disability. Periodic collection of this information using Form SSA-8203-BK is the only way SSA can make these redeterminations; and collect the information as mandatory under the law. We routinely collect the information in field offices via personal contact (face-to-face or telephone interview) using the automated Modernized SSI Claim System (MSSICS). The respondents are SSI recipients or their representative payees.

The latest form for Statement for Determining Continuing Eligibility for Supplemental Security Income Payments expires 2027-11-30 and is listed under ICR 202209-0960-003.

View the official OMB control history on Reginfo.gov.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form SSA-8203 Statement Determining Continuing Eligibility for Supplemental Security Income PaymentsForm
Form SSA-8203 Determining Continuing Eligibility for Supplemental Security Income Payments – SSA-8203-BKForm
Addendum 0960-0416.docx Supplementary Document
Supporting Statement - 0416 (Final).docxSupporting Statement A
Determining Continuing Eligibility for Supplemental Security Income Payments – SSA-8203-BK Form
Determining Continuing Eligibility for Supplemental Security Income Payments – SSA-8203-BK Form
Statement for Determining Continuing Eligibility for Supplemental Security Income Payments –- SSI Claims System Other-Internal Use Screens

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202209-0960-003 Revision of a currently approved collection 2022-10-19
201905-0960-003 Revision of a currently approved collection 2019-08-07 Approved without change
201807-0960-012 No material or nonsubstantive change to a currently approved collection 2018-07-25 Approved without change
201601-0960-008 Revision of a currently approved collection 2016-04-28 Approved without change
201211-0960-003 Revision of a currently approved collection 2013-04-03 Approved without change
200910-0960-006 Revision of a currently approved collection 2010-01-28 Approved without change
200805-0960-020 No material or nonsubstantive change to a currently approved collection 2008-05-20 Approved without change
200702-0960-009 Revision of a currently approved collection 2007-03-20 Approved with change
200607-0960-020 Revision of a currently approved collection 2006-08-25 Approved without change
200409-0960-009 No material or nonsubstantive change to a currently approved collection 2004-09-29 Approved without change
200310-0960-005 Extension without change of a currently approved collection 2003-10-10 Approved without change
200212-0960-015 No material or nonsubstantive change to a currently approved collection 2002-12-23 Approved without change
200208-0960-007 Revision of a currently approved collection 2002-08-30 Approved with change
200108-0960-011 Revision of a currently approved collection 2001-08-23 Approved without change
200009-0960-001 Extension without change of a currently approved collection 2000-09-11 Approved without change
199909-0960-017 No material or nonsubstantive change to a currently approved collection 1999-09-23 Approved without change
199709-0960-002 Revision of a currently approved collection 1997-09-03 Approved without change
199407-0960-006 Revision of a currently approved collection 1994-07-14 Approved without change
199403-0960-002 Revision of a currently approved collection 1994-03-02 Approved without change
199202-0960-001 Revision of a currently approved collection 1992-02-06 Approved without change
199105-0960-007 No material or nonsubstantive change to a currently approved collection 1991-05-07 Approved with change
199102-0960-006 Revision of a currently approved collection 1991-02-12 Approved without change
198802-0960-010 Revision of a currently approved collection 1988-02-26 Approved without change
198709-0960-024 No material or nonsubstantive change to a currently approved collection 1987-09-30 Approved with change
198612-0960-004 Revision of a currently approved collection 1986-12-11 Approved without change
198509-0960-002 New collection (Request for a new OMB Control Number) 1985-09-18 Approved without change

OMB Details

Statement for Determining Continuing Eligibility for Supplemental Security Income Payments –- SSI Claims System

Federal Enterprise Architecture: Income Security - General Retirement and Disability