View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0960-0618
ICR Reference No:
200805-0960-018
Status:
Historical Active
Previous ICR Reference No:
200701-0960-020
Agency/Subagency:
SSA
Agency Tracking No:
Title:
Social Security Benefits Application
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
08/27/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/23/2008
Terms of Clearance:
This information collection request is approved for 3 years. Consistent with our 8/27 discussion, during the approval period, SSA will explore alternatives to the use of the SSN for log-in purposes. At the next submission of this package, SSA will report to OMB on the results of its exploration.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2011
36 Months From Approved
08/31/2010
Responses
4,924,218
0
3,843,369
Time Burden (Hours)
1,230,239
0
963,056
Cost Burden (Dollars)
0
0
0
Abstract:
The Social Security Administration (SSA) provides Retirement, Survivors, and Disability benefits to members of the public who meet the required eligibility criteria and who file the correct application. This collection includes the three modalities the public can use to file for the appropriate benefit type: a paper form, an office interview with Modernized Claims System screen input, or the Internet Social Security Benefits Application. In this ICR, we are making two changes to the collection: 1) we are giving third parties the ability to complete applications in ISBA and 2) we are implementing design changes that will make the application easier and less time-consuming to complete. The respondents are applicants for Retirement, Disability, or Spouses Insurance Benefits or their third-party representatives.
Authorizing Statute(s):
US Code:
42 USC 402
Name of Law: Social Security Act
US Code:
42 USC 423
Name of Law: Social Security Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
73 FR 15252
03/21/2008
30-day Notice:
Federal Register Citation:
Citation Date:
73 FR 29833
05/22/2008
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
12
IC Title
Form No.
Form Name
1st Party Internet Social Security Benefits Application (ISBA)
3rd Party Internet Social Security Benefits Application (ISBA)
Notices to Beneficiaries who Have Third Parties Applying for them Via ISBA
Paper Form SSA-1 (Application for Retirement Insurance Benefits)
SSA-1
Application for Retirement Insurance Benefits
Paper Form SSA-16 (Application for Disability Insurance Benefits )
SSA-16
Application for Disability Insurance Benefits
Paper Form SSA-2 (Application for Wife's or Husband's Insurance Benefits)
SSA-2
Application for Wife's or Husband's Insurance Benefits
SSA-1 MCS Screens
SSA-1 MCS Signature Proxy
SSA-16 MCS Screens
SSA-16 MCS Signature Proxy
SSA-2 MCS Screens
SSA-2 MCS Signature Proxy
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
4,924,218
3,843,369
0
429,087
651,762
0
Annual Time Burden (Hours)
1,230,239
963,056
0
-5,837
273,020
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Burden Increases are due to 1) increased use (adjustments) and 2) re-adjustment of the number of respondents, which was accidentally under-estimated in the last ICR. Burden Decreases are due to 1) decreased use of certain collections in the ICR and 2) reduced burden time for the ISBA collection.
Annual Cost to Federal Government:
$3,372,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Elizabeth Davidson 411-965-0454 liz.davidson@ssa.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
05/23/2008
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