The i3368 is no longer a standalone internet form. An IU who meets the iClaim screening
criteria can access the i3368 once he or she completes and submits the iClaim. The
i3368 automatically generates to the IU in the internet application path once he or
she submits the iClaim.
Information common to both the iClaim and i3368 (for example, name and social security
number) will propagate from the iClaim to the i3368, so that the IU will not need
to reenter this information. Otherwise, the i3368 generally collects the same information
as the paper SSA-3368-BK; however, the questions do not necessarily appear in the
EXCEPTION: After the IU enters all the claimant’s medical conditions, the i3368 makes a call
to the Compassionate Allowances (CAL) selection software housed within the Predictive
Model. If the CAL selection software recognizes one or more CAL conditions in the
allegations, the i3368 curtails the collection of work and education information.
The IU can change the alleged medical conditions at any time prior to submission.
However, the i3368 makes only one call to the CAL selection software. The i3368 remains
curtailed even when the updated list of medical conditions no longer includes a CAL
condition (see DI 81007.030).
SSA personnel can view sample images of the screens that IUs see at http://eis.ba.ssa.gov/oses/appages/. The ApPages do not display every possible screen presented to IUs. Additionally,
the images displayed in ApPages are simply screen shots; they have no functionality.