Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
0960-0145 - SSA-8202 (Paper Form) New 67698 49645 0 Form and Instruction SSA-8202 Statement for Determining Continuing Eligibility for Supplemental Security Income Payment
Form and Instruction SSA-8202 (Effective 9/30/24) Statement for Determining Continuing Eligibility for Supplemental Security Income Payment
0960-0145 - SSA-8202 (SSI Claims System Screens) New 1764207 1176138 0 Other-Intranet Screens
0960-0174 - SSA-8006 (Paper Version) New 12160 6080 0 Form and Instruction SSA-8006 Statement of Living Arrangements, In-Kind Support and Maintenance
Form and Instruction SSA-8006 (to SSA-8007 Effective after 9/30/24) Statement of Living Arrangements, In-Kind Support and Maintenance
0960-0174 - SSA-8006 (SSI Claims System Screens) New 109436 49246 0 Other-Intranet Screens
0960-0229 - SSA-8000-BK (Paper Version) New 705 705 0 Form and Instruction SSA-8000-BK Application for Supplemental Security Income
Form and Instruction SSA-8000-BK (effective on 9/30/24) Application for Supplemental Security Income
0960-0229 - SSA-8000-BK (SSI Claims System Screens) New 1646520 1509310 0 Other-Intranet Screens
0960-0416 - SSA-8203 (Paper Version) New 135357 90238 0 Form and Instruction SSA-8203 Statement for Determining Continuing Eligibility for Supplemental Security Income Payments
Form and Instruction SSA-8203 (Effective after 9/30/24) Statement for Determining Continuing Eligibility for Supplemental Security Income Payment
0960-0416 - SSA-8203 (SSI Claims System Screens) New 1468220 954343 0 Other-Intranet Screens
0960-0456 - SSA-8011 (Paper Version) New 21000 4900 0 Form and Instruction SSA-8011 Statement of Household Expense and Contributions
Form and Instruction SSA-8011 (to Form SSA-8012 effective on 9/30/24) Statement of Household Expense and Contributions
0960-0456 - SSA-8011 (SSI Claims System Screens) New 398759 93044 0 Other-Intranet Screens
0960-0529 - SSA-5062 (Paper Version) New 29026 14029 0 Form and Instruction SSA-5062 Claimant's Statement About Loan Of Food Or Shelter
Form and Instruction SSA-5062 (to SSA-5064 Effective on 9/30/24) Claimant's Statement About Loan Of Food Or Shelter
0960-0529 - SSA-5062 (SSI Claims System Screens) New 29026 9192 0 Other-Intranet Screens
0960-0529 - SSA-L5063 (Paper Version) New 29026 14029 0 Form SSA-L506 Statement about Food or Shelter Provided to Another
Form SSA-L5063 (to SSA-L5065 Effective on 9/30/24) Statement about Food or Shelter Provided to Another
SSA-L5063 (SSI Claims System Screens) New 29026 9192 0 Other-Intranet Screens
Total burden requested under this ICR: 5740166 3980091 0  
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