Electronic Records Express

OMB 0960-0753

OMB 0960-0753

Electronic Records Express (ERE) is a web-based SSA program medical providers and others use to electronically submit disability claim data to SSA. This ICR includes 1) the registration process for ERE and 2) a new functionality that allows medical providers to electronically submit reimbursement requests to SSA. The respondents are new ERE users and medical providers who are current ERE users.

The latest form for Electronic Records Express expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Supplementary Document
Supporting Statement A

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