Application for Supplemental Security Income (SSI)

ICR 201104-0960-008

OMB: 0960-0229

Federal Form Document

ICR Details
0960-0229 201104-0960-008
Historical Active 200907-0960-011
SSA
Application for Supplemental Security Income (SSI)
Revision of a currently approved collection   No
Regular
Approved without change 10/03/2011
Retrieve Notice of Action (NOA) 08/04/2011
  Inventory as of this Action Requested Previously Approved
10/31/2014 36 Months From Approved 09/30/2011
1,281,260 0 1,327,410
752,266 0 753,035
0 0 0

The Supplemental Security Income (SSI) program provides aged, blind, and disabled individuals, who have little or no income, funds for food, clothing, and shelter. SSA collects the information on the SSA-8000 and its electronic Intranet counterpart, the Modernized SSI Claims System, or MSSICS, to determine: 1)Whether SSI claimants meet all statutory and regulatory eligibility requirements, and 2) SSI payment amounts.

US Code: 42 USC 1383 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  76 FR 28297 05/16/2011
76 FR 43368 07/20/2011
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 1,327,410 0 -46,150 0 0
Annual Time Burden (Hours) 752,266 753,035 0 -769 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Removed collection instrument. The decrease in burden is due to a one-time survey SSA conducted in 2009 to obtain an estimate of how often people file for disability payments at the request/suggestion of an organization or company. SSA conducted a brief two-week survey of Title XVI disability applicants. This activity resulted in a one-time addition to the burden. Removing this collection instrument accounts for burden decrease.

$352,856
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.
08/04/2011


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