Statement for Determining Continuing Eligibility for Supplemental Security Income Payments - SSI Claims System

Statement for Determining Continuing Eligibility for Supplemental Security Income Payments

Documents and Forms

Document Name Document Type
SSI Claims System.pdf Other-Internal Use Screens

Information Collection (IC) Details

IC Title:	Statement for Determining Continuing Eligibility for Supplemental Security Income Payments - SSI Claims System	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.204

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internal Use Screens			SSI Claims System.pdf		Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,918,702	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,918,702	450,482	1,468,220
Annual IC Time Burden (Hours)	1,566,940	1,102,004	464,936
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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