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 2956208 739052 0 Other-Internet Screens
Other-Internet Screen
1st Party Internet Social Security Benefits Application (iClaim) - Foreign Applicants Modified 11650 583 0 Other-Internet Screens
Other-Internet Screen
3rd Party iClaim Modified 345267 86317 0 Other-Internet Screens
Other-Internet Screen
Medicare-only MCS SSA-1 screens Modified 880763 102756 0 Other-MCS screens for Medicare-only (will be modified in interview as necessary)
Medicare-only Paper Form SSA-1 Modified 9549 1114 0 Form and Instruction SSA-1 Application for Retirement Insurance Benefits
Instruction
Medicare-only iClaim Modified 723062 120510 0 Other-Internet screens
Other-Internet Screen
Paper Form SSA-1 (Application for Retirement Insurance Benefits) Modified 115678 21208 0 Form SSA-1 Application for Retirement Insurance Benefits
Paper Form SSA-16 (Application for Disability Insurance Benefits ) Modified 116294 38765 0 Form and Instruction SSA-16 Application for Disability Insurance Benefits
Instruction
Form SSA-16 Application for Disability Insurance Benefits
Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits) Modified 54661 13665 0 Form SSA-2 Application for Wife's or Husband's Insurance Benefits
SSA-1 MCS Signature Proxy Modified 2793597 465600 0 Other-MCS/Signature Proxy
SSA-16 MCS Signature Proxy Modified 2483952 786585 0 Other-MCS/Signature Proxy
SSA-2 MCS Signature Proxy Modified 518598 121006 0 Other-MCS Signature Proxy Screens
iAppointment Modified 20218 3370 0 Other-iAppointment Screens
iClaim Applicant After 3rd Party Completion Modified 345267 28772 0 Other-Notices to Beneficiaries with 3rd-party iClaim completion
Total burden requested under this ICR: 11374764 2529303 0  
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