OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Social Security Benefits Application

ICR 201107-0960-013 · OMB 0960-0618 · Historical Active

Forms and Documents
Document
Name
Status
Form and Instruction
 Unchanged
Justification for No Material/Nonsubstantive Change
2011-08-03
IC Document Collections
IC ID
Document
Title
Status
9628 Modified
194187 Unchanged
191246 Unchanged
191245 Unchanged
191244 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 201107-0960-013
Historical Active 201105-0960-009
SSA
Social Security Benefits Application
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/03/2011
Retrieve Notice of Action (NOA) 08/11/2011
  Inventory as of this Action Requested Previously Approved
09/30/2013 09/30/2013 09/30/2013
5,324,218 0 5,324,218
1,281,889 0 1,281,889
0 0 0
This collection includes the various modalities for benefits applications, including forms SSA-1, SSA-2, SSA-16 (and the corresponding MCS/in-person interview systems), and the online iClaim system. This is a request for a non-substantive change.
US Code: 42 USC 402 Name of Law: Social Security Act
   US Code: 42 USC 423 Name of Law: Social Security Act
   US Code: 42 USC 426 Name of Law: Social Security Act
   US Code: 42 USC 1395j Name of Law: Social Security Act
   US Code: 42 USC 1395o Name of Law: Social Security Act
  
None
Not associated with rulemaking
  75 FR 9992 03/04/2010
75 FR 51153 08/18/2010
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 5,324,218 5,324,218 0 0 0 0
Annual Time Burden (Hours) 1,281,889 1,281,889 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$7,735,300
No
No
No
No
No
Uncollected
Faye Lipsky 410 965-8783 faye.lipsky@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.
08/11/2011