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

View Information Collection (IC)

iSSI/iClaim - Internet Claim System
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.305 - 416.335

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-iSSI First Party Screen www.ssa.gov Yes Yes Fillable Fileable Signable
Other-iSSI Third Party Screen www.ssa.gov Yes Yes Fillable Fileable Signable
Other-iClaim 1st Party Screens (SSA-16) www.ssa.gov (iClaim) Yes Yes Fillable Fileable Signable
Other-iClaim 3rd Party Screens (SSA-16) www.ssa.gov (iClaim) Yes Yes Fillable Fileable Signable
Other-iSSI Journey Screens www.ssa.gov Yes No Printable Only

Income Security General Retirement and Disability

 

167,331 0
   
Individuals or Households
 
   100 %

  Requested 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 167,331 0 0 37,595 0 129,736
Annual IC Time Burden (Hours) 16,733 0 0 -136,788 0 153,521
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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