Statement for determining continuing eligibility for Supplemental Security Income Payments, 20 CFR 416.204

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0416 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-8203 Statement for determining continuing eligibility for Supplemental Security Income Payments, 20 CFR 416.204 Form and Instruction
MISSICS Screens 8203 08-06.pdf Other-MISSICS Screens
SSA-8203 Statement for Determining Continuing Eligibility for Sup S8203(08-06).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement for determining continuing eligibility for Supplemental Security Income Payments, 20 CFR 416.204	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

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
Form and Instruction	SSA-8203	Statement for Determining Continuing Eligibility for Supplemental Security Income Payments	S8203(08-06).pdf		No		Paper Only
Other-MISSICS Screens			MISSICS Screens 8203 08-06.pdf		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: 171,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	171,000	-729,000	900,000
Annual IC Time Burden (Hours)	56,394	-228,606	285,000
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.