Questionnaire for Children Claiming SSI Benefits

OMB 0960-0499

OMB 0960-0499

When 1) child claimants for Supplemental Security Income (SSI) benefits receive an unfavorable disability eligibility decision, and the people applying on their behalf want to appeal the decision; or 2) when children are currently receiving Disabled Child (DC) payments and the Social Security Administration (SSA) is reviewing their continued eligibility, these disability applicants and recipients need a mechanism to submit relevant evidence about the child's functioning. SSA uses Form SSA-3881, the Questionnaire for Children Claiming SSI Benefits, for that purpose. The respondents are parents or legal guardians of the child disability applicants/recipients.

The latest form for Questionnaire for Children Claiming SSI Benefits expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material
All Historical Document Collections
Revision of a currently approved collection 2020-09-08
Approved without change
Revision of a currently approved collection 2017-05-17
Approved without change
Revision of a currently approved collection 2014-06-02
Preapproved
No material or nonsubstantive change to a currently approved collection 2013-08-06
Approved without change
Revision of a currently approved collection 2011-05-05
Approved without change
Extension without change of a currently approved collection 2008-07-18
Approved without change
Extension without change of a currently approved collection 2007-05-11
Approved without change
Extension without change of a currently approved collection 2004-04-12
Approved without change
Extension without change of a currently approved collection 2001-02-28
Approved without change
No material or nonsubstantive change to a currently approved collection 1999-08-06
Approved without change
Extension without change of a currently approved collection 1998-01-22
Approved without change
Reinstatement without change of a previously approved collection 1997-07-23
Approved without change
Extension without change of a currently approved collection 1995-11-21
Approved without change
Revision of a currently approved collection 1994-04-25
Approved without change
Reinstatement with change of a previously approved collection 1993-02-08
Approved without change
New collection (Request for a new OMB Control Number) 1991-08-15

© 2024 OMB.report | Privacy Policy