View Information Collection Request (ICR) Package

OMB Control No: 0960-0618	ICR Reference No: 202208-0960-002
Status: Historical Active	Previous ICR Reference No: 202103-0960-010
Agency/Subagency: SSA	Agency Tracking No:
Title: Social Security Benefits Application
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/18/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/25/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2025	04/30/2025	04/30/2025
Responses	5,947,974	0	5,947,974
Time Burden (Hours)	3,027,018	0	3,027,018
Cost Burden (Dollars)	0	0	0

Abstract: Title II of the Social Security Act provides retirement, survivors, and disability benefits to members of the public who meet the required eligibility criteria and file the appropriate application. This collection comprises the various application methods for the retirement, survivors, and disability benefits. These methods include the following modalities: paper forms (Forms SSA–1, SSA–2, and SSA–16), Modernized Claims System (MCS) screens for in-person interview applications, as well as the Internet-based iClaim and iAppointment applications allowing the public to apply electronically. SSA uses the information collected using these modalities to determine: (1) the applicants' eligibility for the above-mentioned Social Security benefits, and (2) the amount of the benefits. The respondents are applicants for retirement, survivors, and disability benefits under Title II of the Act, their representatives, and in some instances, applicants for SSI payments or their representatives who are requesting to file for SSI through iClaim. We are removing the obsolete questions about the sex of the claimant from the paper SSA-1, SSA-2 and SSA-16 forms to align with our 2012 policy changes for identity verification for benefit application purposes, and updating iClaim screens.

Authorizing Statute(s): US Code: 42 USC 1395j Name of Law: Social Security Act
   US Code: 42 USC 1395o Name of Law: Social Security Act
   US Code: 42 USC 402 Name of Law: Social Security Act
   US Code: 42 USC 423 Name of Law: Social Security Act
   US Code: 42 USC 426 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:
	85 FR 86638	12/30/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 14170	03/12/2021
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	5,947,974	5,947,974
Annual Time Burden (Hours)	3,027,018	3,027,018
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: When we last cleared this Information Collection in 2017, the burden was 1,576,027 hours. However, we are currently reporting a burden of 1,383,743 hours. This change stems from a decrease in the number of responses from 7,103,513 to 5,947,974. There is a change to the number of responses due to the removal of the Medicare Only Application and the iAppointment System from this package. In addition, we also account for normal fluctuation in usage, and we included the travel time estimate in our calculations for the paper and MCS versions of the information collections. These figures represent current Management Information data.

Annual Cost to Federal Government: $96,004,138

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

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