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Statement for Determining Continuing Eligibility - SSI Claims System
Statement for Determining Continuing Eligibility
OMB: 0960-0145
IC ID: 45420
OMB.report
SSA
OMB 0960-0145
ICR 202203-0960-010
IC 45420
( )
Documents and Forms
Document Name
Document Type
SSA-8202 - SSI Claims System Screens.pdf
Other-SSI Claims System - Intranet S
MSSICS Screens.pdf
Previous MSSICS Screens (Internal Screens)
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Statement for Determining Continuing Eligibility - 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-SSI Claims System - Intranet Screens
SSA-8202 - SSI Claims System Screens.pdf
Yes
Yes
Fillable Fileable Signable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,764,207
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,764,207
0
0
-257,626
0
2,021,833
Annual IC Time Burden (Hours)
2,087,645
0
0
1,413,701
0
673,944
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Previous MSSICS Screens (Internal Screens)
MSSICS Screens.pdf
03/14/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.