Application for Supplemental Security Income

SSA provides Supplemental Security Income (SSI) payments to members of the public who meet the required eligibility criteria and who file the prescribed application. SSA uses Form SSA 8001 BK, Application for SSI (Deferred or Abbreviated), to collect information from respondents to either: (1) provide a formal determination of ineligibility based on non-medical reasons only, or (2) document allegations of potential eligibility prior to requesting a medical determination from the state disability determination services (DDS) while deferring the collection of additional information until after the DDS approves a medical determination. Respondents apply for SSI using the deferred application through one of three modalities: (1) a paper application for both adult and child claims (Form SSA-8001), which the public can access as a fillable PDF from our website and submit through SSA’s Upload Documents Portal (OMB Control No. 0960-0830); (2) a field office interview (in person or over the phone), during which an SSA employee enters applicant data directly into the Consolidated Claim Experience (CCE) and Intranet SSI Claims System screens; or (3) the iSSI Internet application, basic eligibility questions (within the Internet Claims (iClaim site)). SSI applicants can also use a simplified online hybrid approach that streamlines and simplifies the online application form and the modalities we offer across other service channels (i.e., phone and in-person interviews). In this hybrid approach, we (1) capture the claimant’s basic eligibility with a simplified application, and (2) use a technician supported experience to develop additional information as necessary to make an initial determination. This second step only happens after we provide medical approval and identify the specific additional information needed. This approach strikes a balance between improving the applicant’s filing experience and collecting all necessary information to make eligibility determinations. SSA uses the information we gather on the SSA-8001, deferred SSI Application, to: (1) formally deny SSI for nonmedical reasons when information the applicant provides results in ineligibility; or (2) establish a disability claim but defer the evidence development of non-medical issues until SSA approves the disability. The respondents are individuals who are applying for SSI and are either clearly ineligible or, disabled or blind, or are the third parties who aid these individuals in applying for SSI.

The latest form for Application for Supplemental Security Income expires 2029-10-31 and is listed under ICR 202605-0960-008.

View the official OMB control history on Reginfo.gov.

Application for Supplemental Security Income - CCE or SSI Claims System

Federal Enterprise Architecture: Income Security - General Retirement and Disability