Electronic Benefit Verification Informaiton (BEVE)

Electronic Benefit Verification Information (BEVE)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0595 can be found here:

Documents and Forms

Document Name Document Type
Electronic Benefit Verification Informaiton (BEVE) Form and Instruction
Electronic Benefit Verification Information (BEVE) Electronic Benefit Verification Information (BEVE).pdf secure.ssa.gov/apps6z/BEVE/main.html Form and Instruction

Information Collection (IC) Details

IC Title:	Electronic Benefit Verification Informaiton (BEVE)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 401.40(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	N/A	Electronic Benefit Verification Information (BEVE)	Electronic Benefit Verification Information (BEVE).pdf	https://secure.ssa.gov/apps6z/BEVE/main.html	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: 314,974	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	314,974	181,054	133,920
Annual IC Time Burden (Hours)	26,248	15,088	11,160
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.