Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1st Party Internet Social Security Benefits Application (ISBA) Unchanged 541851 135463 0 Other-ISBA Screens - 1st party respondents
3rd Party Internet Social Security Benefits Application (ISBA) Unchanged 28118 7030 0 Other-ISBA screens -- for 3rd parties
February 2009 Survey of Title II Disability Applicants New 85000 1417 0 Other-Brief follow-up survey
Notices to Beneficiaries who Have Third Parties Applying for them Via ISBA Unchanged 28118 2343 0 Other-Notices to Beneficiaries with 3rd-party IBSA completion
Paper Form SSA-1 (Application for Retirement Insurance Benefits) Unchanged 21000 3850 0 Form SSA-1 Application for Retirement Insurance Benefits
Paper Form SSA-16 (Application for Disability Insurance Benefits ) Unchanged 24161 8054 0 Form and Instruction SSA-16 Application for Disability Insurance Benefits
Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) Unchanged 3800 950 0 Form and Instruction SSA-2 Application for Wife's or Husband's Insurance Benefits
SSA-1 MCS Screens Unchanged 172200 31570 0 Other-MCS Screens
SSA-1 MCS Signature Proxy Unchanged 1549800 258300 0 Other-MCS/Signature Proxy
SSA-16 MCS Screens Unchanged 218657 72886 0 Other-MCS Screens
SSA-16 MCS Signature Proxy Unchanged 1967913 623172 0 Other-MCS/Signature Proxy
SSA-2 MCS Screens Unchanged 36860 9215 0 Other-MCS Screens
SSA-2 MCS Signature Proxy Unchanged 331740 77406 0 Other-MCS Signature Proxy Screens
Total burden requested under this ICR: 5009218 1231656 0  
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