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 Social Security Act.
US Code:
42
USC 423 Name of Law: Social Security Act
US Code: 42
USC 402 Name of Law: Social Security Act
US Code: 42
USC 426 Name of Law: Social Security Act
US Code: 42
USC 1395j Name of Law: Social Security Act
US Code: 42
USC 1395o Name of Law: Social Security Act
The overall increase to the
public reporting burden represents the addition of the more
time-consuming foreign iClaim responses (which, while more
convenient than an MCS field-office interview, take longer to
complete). Another change to the burden collection is the removal
of the individual line for MCS application by combining the
MCS/signature proxy collections. We made this change because we now
require Signature Proxy attestation for every application entered
to MCS unless the applicant refuses to give verbal attestation. The
line for paper applications reflect the applications submitted with
a wet signature including those for which the MCS respondents
refused to give verbal attestation.
$7,735,300
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.
Form SSA-1 Medicare-only Paper Form SSA-1
Addendum - 0618 - 11-27-13.docx
1st Party Internet Social Security Benefits Application (iClaim) - Domestic Applicants