Statement for Determining Continuing Eligibility for Supplemental Security Income Payments

OMB 0960-0416

OMB 0960-0416

To determine whether SSI recipients (1) have met and continue to meet all statutory and regulatory requirements for SSI eligibility, and (2) are receiving the correct SSI payment amount, SSA conducts redeterminations of disability. Periodic collection of this information using Form SSA-8203-BK is the only way SSA can make these redeterminations; and collect the information as mandatory under the law. We routinely collect the information in field offices via personal contact (face-to-face or telephone interview) using the automated Modernized SSI Claim System (MSSICS). The respondents are SSI recipients or their representative payees.

The latest form for Statement for Determining Continuing Eligibility for Supplemental Security Income Payments expires 2022-11-30 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2022-10-19
Approved without change
Revision of a currently approved collection 2019-08-07
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-07-25
Approved without change
Revision of a currently approved collection 2016-04-28
Approved without change
Revision of a currently approved collection 2013-04-03
Approved without change
Revision of a currently approved collection 2010-01-28
Approved without change
No material or nonsubstantive change to a currently approved collection 2008-05-20
Approved with change
Revision of a currently approved collection 2007-03-20
Approved without change
Revision of a currently approved collection 2006-08-25
Approved without change
No material or nonsubstantive change to a currently approved collection 2004-09-29
Approved without change
Extension without change of a currently approved collection 2003-10-10
Approved without change
No material or nonsubstantive change to a currently approved collection 2002-12-23
Approved with change
Revision of a currently approved collection 2002-08-30
Approved without change
Revision of a currently approved collection 2001-08-23
Approved without change
Extension without change of a currently approved collection 2000-09-11
Approved without change
No material or nonsubstantive change to a currently approved collection 1999-09-23
Approved without change
Revision of a currently approved collection 1997-09-03
Approved without change
Revision of a currently approved collection 1994-07-14
Approved without change
Revision of a currently approved collection 1994-03-02
Approved without change
Revision of a currently approved collection 1992-02-06
Approved with change
No material or nonsubstantive change to a currently approved collection 1991-05-07
Approved without change
Revision of a currently approved collection 1991-02-12
Approved without change
Revision of a currently approved collection 1988-02-26
Approved with change
No material or nonsubstantive change to a currently approved collection 1987-09-30
Approved without change
Revision of a currently approved collection 1986-12-11
Approved without change
New collection (Request for a new OMB Control Number) 1985-09-18
OMB Details

Statement for determining continuing eligibility for Supplemental Security Income Payments -- MISSIC Screens Signature Proxy

Federal Enterprise Architecture: Income Security - General Retirement and Disability


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