OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Social Security Benefits Application

ICR 202208-0960-002 · OMB 0960-0618 · Received in OIRA

Forms and Documents
Document
Name
Status
Form and Instruction
 Modified
Form
 Modified
Form
 Modified
Justification for No Material/Nonsubstantive Change
2022-08-11
Supporting Statement A
2022-08-11
IC Document Collections
IC ID
Document
Title
Status
9628 Unchanged
246415 Modified
246414 Modified
246413 Modified
246412 Modified
246410 Modified
201977 Modified
184984 Modified
184982 Modified
179349 Modified
179348 Unchanged
179344 Modified
179343 Unchanged
179340 Modified
179338 Unchanged
ICR Details
0960-0618 202208-0960-002
Received in OIRA 202103-0960-010
SSA
Social Security Benefits Application
No material or nonsubstantive change to a currently approved collection   No
Regular 08/25/2022
  Requested Previously Approved
04/30/2025 04/30/2025
5,947,974 5,947,974
3,027,018 3,027,018
0 0
Title II of the Social Security Act provides retirement, survivors, and disability benefits to members of the public who meet the required eligibility criteria and file the appropriate application. This collection comprises the various application methods for the retirement, survivors, and disability benefits. These methods include the following modalities: paper forms (Forms SSA–1, SSA–2, and SSA–16), Modernized Claims System (MCS) screens for in-person interview applications, as well as the Internet-based iClaim and iAppointment applications allowing the public to apply electronically. SSA uses the information collected using these modalities to determine: (1) the applicants' eligibility for the above-mentioned Social Security benefits, and (2) the amount of the benefits. The respondents are applicants for retirement, survivors, and disability benefits under Title II of the Act, their representatives, and in some instances, applicants for SSI payments or their representatives who are requesting to file for SSI through iClaim. We are removing the obsolete questions about the sex of the claimant from the paper SSA-1, SSA-2 and SSA-16 forms to align with our 2012 policy changes for identity verification for benefit application purposes, and updating iClaim screens.
US Code: 42 USC 1395j Name of Law: Social Security Act
   US Code: 42 USC 1395o Name of Law: Social Security Act
   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
  
None
Not associated with rulemaking
  85 FR 86638 12/30/2020
86 FR 14170 03/12/2021
No
  Total Request 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 5,947,974 5,947,974 0 0 0 0
Annual Time Burden (Hours) 3,027,018 3,027,018 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
When we last cleared this Information Collection in 2017, the burden was 1,576,027 hours. However, we are currently reporting a burden of 1,383,743 hours. This change stems from a decrease in the number of responses from 7,103,513 to 5,947,974. There is a change to the number of responses due to the removal of the Medicare Only Application and the iAppointment System from this package. In addition, we also account for normal fluctuation in usage, and we included the travel time estimate in our calculations for the paper and MCS versions of the information collections. These figures represent current Management Information data.
$96,004,138
No
    Yes
    Yes
No
No
No
No
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.
08/25/2022