Application for Supplemental Security Income (SSI)

ICR 200803-0960-020

OMB: 0960-0229

Federal Form Document

ICR Details
0960-0229 200803-0960-020
Historical Active 200705-0960-014
SSA
Application for Supplemental Security Income (SSI)
Revision of a currently approved collection   No
Regular
Approved without change 09/08/2008
Retrieve Notice of Action (NOA) 06/24/2008
  Inventory as of this Action Requested Previously Approved
09/30/2011 36 Months From Approved 09/30/2008
1,281,260 0 1,128,374
752,266 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 payable. The respondents are applicants for SSI payments.

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

Not associated with rulemaking

  73 FR 16087 03/26/2008
73 FR 33138 06/11/2008
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 1,281,260 1,128,374 0 0 152,886 0
Annual Time Burden (Hours) 752,266 675,285 0 0 76,981 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The annual reporting burden has increased because the number of applications has increased. That increase can be attributed to the economic downturn (i.e. increase in applications and, therefore, increased burden hours).

$352,856
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.
06/24/2008


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