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.
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
US Code: 42
USC 426 Name of Law: Social Security Act
When we last cleared this
Information Collection in 2017, the burden was 1,576,027 hours.
However, we are currently reporting a burden of 1,383,743 hours.
This change stems from a decrease in the number of responses from
7,103,513 to 5,947,974. There is a change to the number of
responses due to the removal of the Medicare Only Application and
the iAppointment System from this package. In addition, we also
account for normal fluctuation in usage, and we included the travel
time estimate in our calculations for the paper and MCS versions of
the information collections. These figures represent current
Management Information data.
$96,004,138
No
Yes
Yes
No
No
No
No
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.docx
Internet Social Security Benefits Application (iClaim) - Domestic Applicants First Party (SSA-1)