Information Collection

Application for Supplemental Security Income - CCE or SSI Claims System

IC 188726 under ICR 202605-0960-008 · OMB 0960-0444.

Documents and Forms

Document Name Document Type
SSA-8001 - SSI Claim System Screen Package - Deferred Claim.pdf Other-SSI Claims System Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Supplemental Security Income - CCE or SSI Claims System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.305 - 416.335

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-SSI Claims System Screens			SSA-8001 - SSI Claim System Screen Package - Deferred Claim.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 596,633	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	596,633	-204,330	800,963
Annual IC Time Burden (Hours)	924,781	-23,025	947,806
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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