Identification Number:
SI 00604 TN 22
Intended Audience:See Transmittal Sheet
Originating Office:ORDP OISP
Title:Completion of Form SSA-8000-BK, Application for Supplemental Security Income
Type:POMS Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part SI – Supplemental Security Income
Chapter 006 – The SSI Application Process
Subchapter 04 – Completion of Form SSA-8000-BK, Application for Supplemental Security Income
Transmittal No. 22, 05/11/2020

Audience

OCO-OEIO: CR, FCR, FDE, RECONE;
OCO-ODO: CR, CST, CTE, CTE TE;
FO/TSC: CS, CS TXVI, CSR, CTE, DRT, FR, OA, TA, TSC-CSR;

Originating Component

OISP

Effective Date

Upon Receipt

Background

This is a Quick Action Transmittal. These revisions do not change or introduce new policy or procedure.

 

Summary of Changes

SI 00604.086 Income: Question 50

Section D

  • We removed the obsoleted link to the IMEN screen, MSOM MSSICS 014.002, and replaced it with a link to the current SSI Claims Systems link to the Income Menu Selection screen, MS 08114.003.

SI 00604.086 Income: Question 50

A. When and how to complete question 50

Complete question 50(a) for all claimants. A "YES" or "NO" indication is required for each item in (a). For any "YES" answer to (a), complete (b).

1. Policy for completing “Other Income or Support” section

Record cash gifts, foreign pensions, interest, and other income not previously captured under "Other income."

NOTE: We cover wages, sick pay, and self-employment income in questions 53 and 54.

2. Policy for completing the “Frequency of Income” block

  1. a. 

    Enter the frequency that the claimant receives income. He or she may not receive all income monthly.

  2. b. 

    If income is expected to continue, write "Continuing" in the "To" portion of the "Dates Expected or Received" block.

3. Policy for completing the “Identifying Number” block

In the "Identifying Number" block enter the appropriate number or write Unknown, or N/A (not applicable).

B. References


SI 00604 TN 22 - Completion of Form SSA-8000-BK, Application for Supplemental Security Income - 5/11/2020