1st Party Internet Social Security Benefits Application (iClaim) - Foreign Applicants

Social Security Benefits Application

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0618 can be found here:

Documents and Forms

Document Name Document Type
iClaim - Revised Screens.pdf www.socialsecurity.gov Other-Internet Screens
Revised iClaim PA Statments Screen.pdf www.socialsecurity.gov Other-Internet Screen
iClaim-Authentication Screens - Revised Screens (Only).pdf www.ssa.gov Other-Revised iClaim Screens - TOS
iClaim - Current Screens.pdf Currently Approved iClaim Screens IC Document
Current Foreign iClaim Screens.pdf iClaim Current Foreign Claim Screens IC Document
Current Revised Direct Deposit iClaim Screens - Foreign Claims.pdf Current Foreign Direct Deposit iClaim Screens IC Document

Information Collection (IC) Details

IC Title:	1st Party Internet Social Security Benefits Application (iClaim) - Foreign Applicants	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.1501-404.1512 20 CFR 404.601-404.603 20 CFR 404.310-404.311 20 CFR 404.330-404.333 20 CFR 404.315-404.322 20 CFR 404.401(b)(1) 20 CFR 404.415 & 404.417 20 CFR 422.505(b) 42 CFR 407.27(c) 31 CFR 210 20 CFR 404.460; 404.463

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens	iClaim - Revised Screens.pdf	http://www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable
Other-Internet Screen	Revised iClaim PA Statments Screen.pdf	http://www.socialsecurity.gov	Yes	Yes	Printable Only
Other-Revised iClaim Screens - TOS	iClaim-Authentication Screens - Revised Screens (Only).pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,373	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	11,373	11,373
Annual IC Time Burden (Hours)	3,412	3,412
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Currently Approved iClaim Screens	iClaim - Current Screens.pdf	08/06/2013
iClaim Current Foreign Claim Screens	Current Foreign iClaim Screens.pdf	08/06/2013
Current Foreign Direct Deposit iClaim Screens	Current Revised Direct Deposit iClaim Screens - Foreign Claims.pdf	08/06/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.