Technical Updates to Applicability of the Supplemental Security Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical Treatment Facilities

Technical Updates to Applicability of the Supplemental Security Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical Treatment Facilities. 20 CFR 416.708(k)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0758 can be found here:

Documents and Forms

Document Name Document Type
Institution Residence - SSI Claim System Screens and Revised PA Statement.pdf Other-SSI Claim System Screens
Institution Residence - Current MSSICS and SSI Claims System Screens.pdf Currently Approved MSSICS Screens IC Document

Information Collection (IC) Details

IC Title:	Technical Updates to Applicability of the Supplemental Security Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical Treatment Facilities	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 416.708(k)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-SSI Claim System Screens			Institution Residence - SSI Claim System Screens and Revised PA Statement.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: 34,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Previously Approved
Annual Number of Responses for this IC	34,200	34,200
Annual IC Time Burden (Hours)	3,990	3,990
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Currently Approved MSSICS Screens	Institution Residence - Current MSSICS and SSI Claims System Screens.pdf	08/02/2019

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