View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Paper Form SSA-16 (Application for Disability Insurance Benefits )
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.601-.603 20 CFR 404.1501-.1512 20 CFR 404.330-.333 20 CFR 404.310-.311

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-16 No   Paper Only
Instruction No   Paper Only
Form SSA-16 Yes No Fillable Printable

Income Security General Retirement and Disability

 

53,300 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 53,300 0 0 0 0 53,300
Annual IC Time Burden (Hours) 17,767 0 0 0 0 17,767
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-16-BK 08/06/2013
Current SSA-16-INST 08/06/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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