This information
collection request is approved for 3 years. Consistent with our
8/27 discussion, during the approval period, SSA will explore
alternatives to the use of the SSN for log-in purposes. At the next
submission of this package, SSA will report to OMB on the results
of its exploration.
Inventory as of this Action
Requested
Previously Approved
08/31/2011
36 Months From Approved
08/31/2010
4,924,218
0
3,843,369
1,230,239
0
963,056
0
0
0
The Social Security Administration
(SSA) provides Retirement, Survivors, and Disability benefits to
members of the public who meet the required eligibility criteria
and who file the correct application. This collection includes the
three modalities the public can use to file for the appropriate
benefit type: a paper form, an office interview with Modernized
Claims System screen input, or the Internet Social Security
Benefits Application. In this ICR, we are making two changes to the
collection: 1) we are giving third parties the ability to complete
applications in ISBA and 2) we are implementing design changes that
will make the application easier and less time-consuming to
complete. The respondents are applicants for Retirement,
Disability, or Spouses Insurance Benefits or their third-party
representatives.
US Code:
42
USC 402 Name of Law: Social Security Act
US Code: 42
USC 423 Name of Law: Social Security Act
Burden Increases are due to 1)
increased use (adjustments) and 2) re-adjustment of the number of
respondents, which was accidentally under-estimated in the last
ICR. Burden Decreases are due to 1) decreased use of certain
collections in the ICR and 2) reduced burden time for the ISBA
collection.
$3,372,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Elizabeth Davidson 411-965-0454
liz.davidson@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-16 Paper Form SSA-16 (Application for Disability Insurance Benefits )
0960-0618 addendum.doc
1st Party Internet Social Security Benefits Application (ISBA)