№ files_lp_3_process_7_033387
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Administrative addendum detailing revisions to the supporting statement for a federal information collection form related to children claiming SSI benefits, including updates to the Privacy Act Statement and OMB clearance terms.
Agency:
Social Security Administration (SSA)
Form Number:
SSA-3881-BK
OMB Control Number:
0960-0499
Regulatory Citation:
20 CFR 416.912(a)
Document Type:
Addendum to Supporting Statement
Subject:
Revision of Privacy Act Statement and Information Collection Updates
Related Information Collection:
Questionnaire for Children Claiming SSI Benefits
Date of Last OMB Approval:
12/28/2021
Terms of Clearance:
Additional description of collection, burden adjustment, clarification of electronic submission capability
Systems Referenced:
Electronic Disability Collect System (EDCS)
Policy Reference:
M-22-10 (including Psychological Costs and Learning Costs)
Proposed Changes:
Update to Privacy Act Statement; expanded description of information collection; inclusion of future submittable PDF plans
Issuing Office:
Office of the General Counsel, SSA
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2015
Region / City:
Arctic-Yukon-Kuskokwim
Topic:
Chinook Salmon Conservation Research
Document Type:
Invitation for Research Proposals
Organ / Institution:
AYK SSI Program
Author:
AYK SSI Program Management
Target Audience:
Researchers and Academic Institutions
Period of Action:
2015–2018
Approval Date:
January 27, 2015
Modification Date:
None
Document type:
Procedural guide
Program:
SOAR (SSI/SSDI Outreach, Access, and Recovery)
Purpose:
Guidance on assisting individuals with disabilities in applying for SSI and SSDI benefits
Intended audience:
Case managers, social workers, and practitioners
Target population:
Individuals with disabilities experiencing homelessness or at risk of homelessness
Benefits addressed:
Supplemental Security Income (SSI); Social Security Disability Insurance (SSDI)
Governing agency:
Social Security Administration
Key components:
Intake assessment; medical records collection; SSA-8000 completion; Medical Summary Report; application submission; follow-up; appeals
Geographic scope:
United States
Source category:
Practice guidance for public benefits access
Note:
Year
Region / City:
New York State
Topic:
Supplemental Security Income (SSI), SNAP, Social Security Administration
Document Type:
Policy Guide
Organization / Institution:
New York State Office of Temporary and Disability Assistance (OTDA)
Author:
Dawn Secor
Target Audience:
SSI recipients, social workers, SNAP administrators
Period of Validity:
36 months
Year:
2025
Note:
Region/City
Document Type:
Proposal Template
Project Period:
May 1, 2025 – June 30, 2028
Year:
2023
Region / City:
Wisconsin
Theme:
Disability Benefits, Social Security
Document Type:
Informational Guide
Organization / Institution:
Wisconsin Department of Health Services
Author:
Wisconsin Department of Health Services
Target Audience:
Wisconsin SSI recipients, Social Security beneficiaries, caregivers
Period of validity:
2023
Approval Date:
Not specified
Date of changes:
Not specified
Year:
2023
Region / City:
Not specified
Theme:
Medical Procedure, Surgical Infection Surveillance
Document Type:
Health record
Institution:
Not specified
Author:
Not specified
Target Audience:
Healthcare professionals involved in infection control and surgical procedures
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Year:
2025
Region / City:
N/A
Topic:
Supplemental Security Income Calculations
Document Type:
Workbook
Organization:
N/A
Author:
N/A
Target Audience:
Individuals practicing SSI calculation
Effective Period:
January 2025
Approval Date:
N/A
Date of Changes:
N/A
Currency:
AED
Correspondent Bank:
Emirates NBD Bank PJSC, Dubai City
Correspondent SWIFT/BIC:
EBIL AE AD
Correspondent Account No:
Account Number: 1264961321601;
Note:
Correspondent Bank
Habib Bank AG Zurich, Dubai City
Year:
2019
Region / City:
Sharjah
Topic:
Advanced Laparoscopic GI Surgery
Document Type:
Course Schedule
Organization / Institution:
University of Sharjah
Author:
Ahmad Nassar, Nabil Soliman, Ali AlKhammas, Omar AlObaid, Ahmed Nada
Target Audience:
Medical professionals, surgeons
Period of Action:
21st-24th January 2019
Approval Date:
Not specified
Modification Date:
Not specified
Sponsors:
KARL STORZ GMBH & CO. KG, Medtronic, JOHNSON & JOHNSON
Part:
I
Chapter:
3
Program:
Supplemental Security Income (SSI)
Subject:
Eligibility, income, resources, and work incentives under SSI
Type of document:
Training manual chapter
Training program:
WIPA Initial Training
Administering agency:
Social Security
Related legislation:
Title XVI of the Social Security Act
Funding source:
General federal tax revenues
Target population:
Individuals who are disabled, blind, or age 65 and older with limited income and resources
Geographic scope:
United States, District of Columbia, Northern Mariana Islands
Key concepts:
Countable income, countable resources, Federal Benefit Rate (FBR), Retrospective Monthly Accounting (RMA)
Referenced systems:
Program Operations Manual System (POMS)
State component:
State Supplemental Payments (SSPs)
Work incentives referenced:
Student Earned Income Exclusion (SEIE), Impairment Related Work Expenses (IRWE), Blind Work Expenses (BWE), Expedited Reinstatement (EXR)
Payment structure:
Monthly cash benefit based on statutory Federal Benefit Rate
Accounting method:
Retrospective Monthly Accounting
Year:
2025
Month:
January
Country:
United States
Program:
Supplemental Security Income (SSI)
Administering Agency:
Social Security Administration
Intended Audience:
Community Work Incentive Coordinators (CWICs) and Community Partner Work Incentive Counselors (CPWICs)
Subject:
Earnings reporting requirements and procedures
Document Type:
Guidance document
Related Forms:
SSA-795 Statement to the Social Security Administration
Reporting Methods Covered:
In-person, mail, fax, telephone, online portal, mobile application
Online Platform:
my Social Security (www.ssa.gov/myaccount
Note:
)
Mobile Application:
SSI Mobile Wage Reporting App
Telephone Reporting Number:
1-866-772-0953
Work Incentives Referenced:
Impairment Related Work Expenses (IRWE), Blind Work Expenses (BWE)
Funding Statement:
Produced at U.S. taxpayer expense
Year:
Not specified
Region / Hospital:
Not specified
Type of document:
Medical supplementary table
Subject:
Surgical site infections, microbiology, perioperative antibiotic reactions
Number of recipients:
66
Number of donors:
8
Organisms listed:
Gram-positive aerobes, Gram-negative aerobes, Candida albicans, anaerobes, mixed upper respiratory tract flora
Antibiotics analyzed:
Penicillin, Cefalosporin, Clindamycin, Teicoplanin, Vancomycin, Amoxicillin, Metronidazole, Piperacillin/tazobactam, Lincomycin
Reported reactions:
Rash, hives, blisters, skin peel, acute generalized exanthematous pustulosis, swelling, angioedema, dizziness, collapse, anaphylaxis, nausea and vomiting, headache, gastrointestinal upset, hypotension
Data type:
Number of cases, percentages, intraoperative and postoperative regimens
Year:
2026
Institution:
The Gateway Academy (Secondary School)
Position:
Combined Cadet Force Staff Instructor and Pastoral Coach
Contract Duration:
52 weeks
Work Hours:
Monday, Tuesday, Friday 08:00–15:30; Wednesday, Thursday 09:30–18:00; field days and camps excluded
Salary Range:
Point 23–27
Reporting To:
Principals and Contingent Commander CCF
Responsibilities:
SSI duties two days per week, Pastoral Coach three days per week, safeguarding and welfare of students, administration of CCF Contingent, training and equipment management, pastoral care and student development
Key Activities:
Cadet training, camps, field exercises, inspections, parental communication, academic and personal development support
Security Role:
Assistant Unit Security Officer, key holder
Audience:
Students, parents/carers, CCF members
Qualifications:
Knowledge of Management Information Systems, experience in educational and military settings, safeguarding awareness
Review Cycle:
Annual job description review and updates as needed