Social Security Benefits Application (Internet, Retirement Survivor & Disability) - Part 404 Subpart D, G & P

ICR 200701-0960-020

OMB: 0960-0618

Federal Form Document

Forms and Documents
Document
Name
Status
Form
 New
Form and Instruction
 New
Form
 New
Supplementary Document
2007-07-26
Supporting Statement A
2007-04-25
Justification for No Material/Nonsubstantive Change
2006-08-31
IC Document Collections
IC ID
Document
Title
Status
9628 Modified
179349 New
179348 New
179347 New
179344 New
179343 New
179341 New
179340 New
179338 New
179334 New
ICR Details
0960-0618 200701-0960-020
Historical Active 200607-0960-017
SSA
Social Security Benefits Application (Internet, Retirement Survivor & Disability) - Part 404 Subpart D, G & P
Revision of a currently approved collection   No
Regular
Approved without change 08/02/2007
Retrieve Notice of Action (NOA) 05/01/2007
  Inventory as of this Action Requested Previously Approved
08/31/2010 36 Months From Approved 08/31/2007
3,843,369 0 3,843,369
963,056 0 963,056
0 0 0
One of the requirements for obtaining Social Security benefits is the filing of an application so that a determination may be made on the applicant's eligibility for Retirement, Survivors or Disability benefits. SSA offers the public several methods to file these applications ranging from the Internet Social Security Benefits Application (ISBA), traditional paper applications and the Modernized Claims System. Through these collections, SSA gathers only information relevant to the individual applicant's circumstances.
US Code: 42 USC 423 Name of Law: null
   US Code: 42 USC 405 Name of Law: null
   US Code: 42 USC 402 Name of Law: null
  
None
Not associated with rulemaking
  72 FR 7809 02/20/2007
72 FR 20154 04/23/2007
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 3,843,369 3,843,369 0 0 0 0
Annual Time Burden (Hours) 963,056 963,056 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The IC has been separated into several IC's and ROCIS is showing it as a burden change. However, there is no change to the burden.
$0
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.
05/01/2007
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