THE INFORMATION COLLECTED BY THIS FORM
IS PROVID BY REVIEWING COMPONENTS AND LISTS MEDICAL/VOCATIONAL
REPORTS WHICH ARE INCLUDED IN CLAIMS FOLDERS BEING FORWARDED TO
DISABILITY HEARING UNITS FOR EVIDENTIARY HEARINGS. THE INFORMATION
CONTAINED ON THIS FORM WILL AID CLAIMANTS FOR BENEFITS IN REVIEWING
THE EVIDENCE IN THEIR FOLDERS AND WILL BE USED BY HEARING OFFICERS
TO PREPARE AND CONDUCT
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.