OMB control number
Authorization to Disclose Information to the Social Security Administration
OMB 0960-0623 · SSA.
OMB 0960-0623
Sections 223(d)(5)(A) and 1614(a)(3)(H)(i) of the Social Security Act require claimants to provide medical and other evidence the Commissioner of Social Security may require to prove they are disabled. SSA must obtain sufficient evidence to make eligibility determinations for Title II and Title XVI payments. Therefore, the applicant must authorize release of information from various sources to SSA. The applicants use Form SSA 827, or the Internet counterpart, e827, to provide consent for the release of medical records, education records, and other information related to their ability to perform tasks. Once the applicant completes Form SSA-827, or the e827, SSA or the State DDS sends the form to the designated source(s) to obtain pertinent records. The respondents are applicants for Title II and Title XVI disability payments.
The latest form for Authorization to Disclose Information to the Social Security Administration expires 2027-04-30 and is listed under ICR 202101-0960-005.
Latest Forms, Documents, and Supporting Material
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| Form and Instruction | |
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| Supporting Statement A | |
| Supporting Statement A | |
| Form and Instruction | |
| Other-Revised PA & PRA Statements | |
| Other-Internet Screens |
All Historical Document Collections
OMB Details
SSA-827 with wet signature(paper version) or EDCS Screens with verbal attestation (Intranet version)
Federal Enterprise Architecture: Income Security - General Retirement and Disability
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form SSA-827 | Authorization To Disclose Information To The Social Security Administration | www.ssa.gov/online/ssa-827.pdf | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.