SSA-8000-BK - 20 CFR, 416.207 & Subpart C, 416.305-.335

ICR 200705-0960-014

OMB: 0960-0229

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2007-06-07
Justification for No Material/Nonsubstantive Change
2006-08-31
ICR Details
0960-0229 200705-0960-014
Historical Active 200608-0960-015
SSA
SSA-8000-BK - 20 CFR, 416.207 & Subpart C, 416.305-.335
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 08/21/2007
Retrieve Notice of Action (NOA) 06/07/2007
  Inventory as of this Action Requested Previously Approved
06/30/2008 06/30/2008 06/30/2008
1,128,374 0 1,128,374
675,285 0 675,285
0 0 0

The information collected using Form SSA-8000-BK is needed and used to determine eligibility for Supplemental Security Income (SSI) and the amount of benefits payable. The respondents are applicants for SSI payments.

US Code: 42 USC 1383 Name of Law: null
  
None

Not associated with rulemaking

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 1,128,374 1,128,374 0 0 0 0
Annual Time Burden (Hours) 675,285 675,285 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The Application for Supplement Security Income is one of the collections cited under our ICB burden reduction Initiative Signature Proxy. The Signature Proxy Initiative is an alternative to the traditional pen and ink or “wet” signature, and it eliminates the need to retain paper applications in most circumstances by allowing the technician to process the application on the claimant’s behalf, without a signature. In most instances, Signature Proxy allows SSA to store and process the entire benefit application electronically, thus reducing costs associated with mailing and storing physical files. In addition, the adoption of Signature Proxy supports faster processing of claims and will improve service to the public by eliminating the need to mail the application to the claimant and wait for it to be signed and returned. Please see the attached Supplementary Documentation which outlines the burden savings achieved through this collection and all other applications in the Signature Proxy Initiative.

$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.
06/07/2007


© 2024 OMB.report | Privacy Policy