Work Activity Report (Self-Employment)

SSA uses Form SSA-820-BK to determine initial or continuing eligibility for (1) Title II Social Security disability payments, or (2) Title XVI Supplemental Security Income (SSI) payments. Under Titles II and XVI of the Act, recipients receive disability and SSI payments based on their inability to engage in substantial gainful activity (SGA) due to a physical or mental condition. Therefore, when the recipients resume work, they must report their work so SSA can evaluate and determine by law whether they continue to meet the disability requirements. SSA uses Form SSA-820-BK to obtain information on self-employment activities of Social Security Title II and XVI disability applicants and recipients. We use the data we obtain to evaluate disability claims, and to help us determine if the claimant meets current disability provisions under Titles II and XVI. Since applicants for disability or SSI payments must prove an inability to perform any kind of SGA generally available in the national economy for which we expect them to qualify based on age, education, and work experience, any work an applicant performed until, or subsequent to, the date the disability allegedly began, affects our disability determination. The respondents are applicants and claimants for Social Security disability payments or SSI payments. We are submitting a non-substantive Change Request to make minor revisions to streamline the form, enhance the clarity for the form, and better explain to the respondents the need for the information. We are making these revisions due to feedback from subject matter experts and from public comments on this form.

The latest form for Work Activity Report (Self-Employment) expires 2027-07-31 and is listed under ICR 202504-0960-004.

Work Activity Report - Self-Employment (returned via mail)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

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