Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1st Party Internet Social Security Benefits Application (iClaim) - Domestic Applicants Modified 1838943 459736 0 Other-Internet Screens
Other-Internet Screen
1st Party Internet Social Security Benefits Application (iClaim) - Foreign Applicants Modified 8291 415 0 Other-Internet Screens
Other-Internet Screen
3rd Party iClaim Modified 431357 107839 0 Other-Internet Screens
Other-Internet Screen
Medicare-only MCS SSA-1 screens Modified 418300 48802 0 Other-MCS screens for Medicare-only (will be modified in interview as necessary)
Medicare-only Paper Form SSA-1 Modified 300 35 0 Form and Instruction SSA-1 Application for Retirement Insurance Benefits
Instruction
Medicare-only iClaim Modified 552400 92067 0 Other-Internet screens
Other-Internet Screen
Paper Form SSA-1 (Application for Retirement Insurance Benefits) Modified 2300 422 0 Form SSA-1 Application for Retirement Insurance Benefits
Instruction
Paper Form SSA-16 (Application for Disability Insurance Benefits ) Modified 53300 17767 0 Form and Instruction SSA-16 Application for Disability Insurance Benefits
Instruction
Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) Modified 1200 300 0 Form and Instruction SSA-2 Application for Wife's or Husband's Insurance Benefits
Instruction
SSA-1 MCS Screens Removed 0 0 0 Other-MCS Screens
SSA-1 MCS Signature Proxy Modified 1441400 240233 0 Other-MCS/Signature Proxy
SSA-16 MCS Screens Removed 0 0 0 Other-MCS Screens
SSA-16 MCS Signature Proxy Modified 1695800 537003 0 Other-MCS/Signature Proxy
SSA-2 MCS Screens Removed 0 0 0 Other-MCS Screens
SSA-2 MCS Signature Proxy Modified 340000 79333 0 Other-MCS Signature Proxy Screens
iAppointment Unchanged 200000 33333 0 Other-iAppointment Screens
iClaim Applicant After 3rd Party Completion Modified 431357 35946 0 Other-Notices to Beneficiaries with 3rd-party iClaim completion
Total burden requested under this ICR: 7414948 1653231 0  
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