Within two weeks
of approval of this change request, the agency will brief OMB on
the technical operation of the new electronic collection. OMB
affirms that potential future revisions to this collection that
reduce the available modalities for responding to the collection
will be treated as substantive and require appropriate Federal
Register notice.
Inventory as of this Action
Requested
Previously Approved
04/30/2021
04/30/2021
04/30/2021
7,113,513
0
7,103,513
1,581,027
0
1,576,027
0
0
0
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 Act, their representatives, and in some instances, applicants
for SSI payments or their representatives who are requesting to
file for SSI through iClaim. This is a non-substantive Change
Request to include the new Medicare Part B Online screens for use
during a COVID-related special enrollment period for Medicare Part
B.
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
US Code: 42
USC 402 Name of Law: Social Security Act
US Code: 42
USC 423 Name of Law: Social Security Act
We are including the new,
temporary, Medicare Part B Online screens under 0960-0618 for CMS
to use during a COVID-related special enrollment period. Once we
obtain approval for these screens, we will transfer them back to
CMS. Therefore, there is a temporary increase in burden of 5,000
hours, but that increase will last only for as long as
necessary.
$66,625,863
No
Yes
Yes
No
No
No
Yes
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
Justification for the Non-Substantive Changes - 0618 (COVID-Related Medicare Part B Application).docx
1st Party Internet Social Security Benefits Application (iClaim) - Domestic Applicants