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OMB Control No: 0960-0444	ICR Reference No: 202605-0960-008
Status: Received in OIRA	Previous ICR Reference No: 202203-0960-008
Agency/Subagency: SSA	Agency Tracking No:
Title: Application for Supplemental Security Income
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/28/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2026
Responses	1,135,549	962,475
Time Burden (Hours)	1,436,961	1,138,929
Cost Burden (Dollars)	0	0

Abstract: SSA provides Supplemental Security Income (SSI) payments to members of the public who meet the required eligibility criteria and who file the prescribed application. SSA uses Form SSA 8001 BK, Application for SSI (Deferred or Abbreviated), to collect information from respondents to either: (1) provide a formal determination of ineligibility based on non-medical reasons only, or (2) document allegations of potential eligibility prior to requesting a medical determination from the state disability determination services (DDS) while deferring the collection of additional information until after the DDS approves a medical determination. Respondents apply for SSI using the deferred application through one of three modalities: (1) a paper application for both adult and child claims (Form SSA-8001), which the public can access as a fillable PDF from our website and submit through SSA’s Upload Documents Portal (OMB Control No. 0960-0830); (2) a field office interview (in person or over the phone), during which an SSA employee enters applicant data directly into the Consolidated Claim Experience (CCE) and Intranet SSI Claims System screens; or (3) the iSSI Internet application, basic eligibility questions (within the Internet Claims (iClaim site)). SSI applicants can also use a simplified online hybrid approach that streamlines and simplifies the online application form and the modalities we offer across other service channels (i.e., phone and in-person interviews). In this hybrid approach, we (1) capture the claimant’s basic eligibility with a simplified application, and (2) use a technician supported experience to develop additional information as necessary to make an initial determination. This second step only happens after we provide medical approval and identify the specific additional information needed. This approach strikes a balance between improving the applicant’s filing experience and collecting all necessary information to make eligibility determinations. SSA uses the information we gather on the SSA-8001, deferred SSI Application, to: (1) formally deny SSI for nonmedical reasons when information the applicant provides results in ineligibility; or (2) establish a disability claim but defer the evidence development of non-medical issues until SSA approves the disability. The respondents are individuals who are applying for SSI and are either clearly ineligible or, disabled or blind, or are the third parties who aid these individuals in applying for SSI.

Authorizing Statute(s): US Code: 42 USC 1383 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:
	91 FR 13915	03/23/2026
30-day Notice:	Federal Register Citation:	Citation Date:
	91 FR 30360	05/22/2026
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Application for Supplemental Security Income - CCE or SSI Claims System
Application for Supplemental Security Income - Paper SSA-8001	SSA-8001-BK (Adults), SSA-8001-BK (Children)	,
iSSI/iClaim - Internet Claim System

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,135,549	962,475	173,074
Annual Time Burden (Hours)	1,436,961	1,138,929	298,032
Annual Cost Burden (Dollars)	0	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 cleared the IC for iSSI (OMB No. 0960-0842) in 2024, the burden was 231,606 hours. However, we are currently reporting a burden of 388,058 hours. The increase in burden is due to an increase in respondents for all modalities: • Paper - SSA-8001: Most of the increase is due to the ability of respondents using the paper SSA-8001, which went from 38,304 to 371,585. This increase is due to several factors: 1) adding a fillable PDF to SSA’s public website which can be downloaded, printed and mailed, and 2) ability to submit the fillable pdf form via Upload Documents portal. • iSSI: We originally estimated a 5% increase of iSSI respondents. However, the actual increase is 13% which is 19,831 respondents. • Intranet CCE/SSI Claims System: To prevent double counting of claims, we excluded the deferred applications that were converted to a full claim (i.e., SSA-8000 OMB No. 0960-0229) to conduct a Pre-effectuation Review (PERC) for medical allowances. After further consideration, these claims should be included since technicians’ review and update this information collected with the deferred application during the PERC which should be considered when calculating the burden for OMB No. 0960-0229. These figures represent current Management Information data. *Note: The total burden reflected in ROCIS is 1,436,961, while the burden cited in #12 of the Supporting Statement is 388,058. This discrepancy is because the ROCIS burden reflects the following components: field office waiting time + telephone call system wait times + a rough estimate of a 30-minute, one-way, drive burden. In contrast, the chart in #12 above reflects actual burden.

Annual Cost to Federal Government: $13,223,025

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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