OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Social Security Benefits Application

ICR 200812-0960-004 · OMB 0960-0618 · Historical Active

Forms and Documents
Document
Name
Status
Form and Instruction
 Unchanged
Form and Instruction
 Unchanged
Form
 Unchanged
Supplementary Document
2008-12-05
Justification for No Material/Nonsubstantive Change
2008-12-05
IC Document Collections
IC ID
Document
Title
Status
9628 Unchanged
184984 Unchanged
184982 Unchanged
179349 Unchanged
179348 Unchanged
179347 Unchanged
179344 Unchanged
179343 Unchanged
179341 Unchanged
179340 Unchanged
179338 Unchanged
179334 Unchanged
ICR Details
0960-0618 200812-0960-004
Historical Active 200805-0960-018
SSA
Social Security Benefits Application
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/29/2008
Retrieve Notice of Action (NOA) 12/08/2008
  Inventory as of this Action Requested Previously Approved
08/31/2011 08/31/2011 08/31/2011
4,924,218 0 4,924,218
1,230,239 0 1,230,239
0 0 0
We are making several minor changes to screens from the Internet Social Security Benefits Application, also known as iClaims. These changes are designed to 1) simplify some questions and 2) ensure that applicants fully understand the implications of their selections. Please see attached explanation of non-substantive changes ("Supporting Statement/Other" page) and revised screen shots (supplementary document).
US Code: 42 USC 402 Name of Law: Social Security Act
   US Code: 42 USC 423 Name of Law: Social Security Act
  
None
Not associated with rulemaking
  73 FR 15252 03/21/2008
73 FR 29833 05/22/2008
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,924,218 4,924,218 0 0 0 0
Annual Time Burden (Hours) 1,230,239 1,230,239 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Burden Increases are due to 1) increased use (adjustments) and 2) re-adjustment of the number of respondents, which was accidentally under-estimated in the last ICR. Burden Decreases are due to 1) decreased use of certain collections in the ICR and 2) reduced burden time for the ISBA collection.
$3,372,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Elizabeth Davidson 411-965-0454 liz.davidson@ssa.gov
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/08/2008