Social Security Benefits Application

Title II of the Social Security Act provides retirement, survivors, and disability benefits to members of the public who meet the required eligibility criteria and file the appropriate application. This collection comprises the various application methods for the retirement, survivors, and disability benefits. These methods include the following modalities: paper forms (Forms SSA–1, SSA–2, and SSA–16), Modernized Claims System (MCS) screens for in-person interview applications, as well as the Internet-based iClaim and iAppointment applications allowing the public to apply electronically. SSA uses the information collected using these modalities to determine: (1) the applicants' eligibility for the above-mentioned Social Security benefits, and (2) the amount of the benefits. The respondents are applicants for retirement, survivors, and disability benefits under Title II of the Act, their representatives, and in some instances, applicants for SSI payments or their representatives who are requesting to file for SSI through iClaim. This is a non-substantive Change Request to include the new Intranet-based Enhanced Leads and Appointment System, which mirrors our current iAppointment screens, for use in our field offices and teleservice centers for scheduling appointments as part of our IT Modification efforts.

The latest form for Social Security Benefits Application expires 2021-04-30 and can be found here.

1st Party Internet Social Security Benefits Application (iClaim) - Domestic Applicants

Federal Enterprise Architecture: Income Security - General Retirement and Disability