DISABILITY RETURN TO WORK MAILER

ICR 198803-0960-006

OMB: 0960-0463

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
115602 Migrated
ICR Details
0960-0463 198803-0960-006
Historical Active
SSA
DISABILITY RETURN TO WORK MAILER
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/26/1988
Retrieve Notice of Action (NOA) 03/24/1988
Approved through 5/89 under the condition that the next submission includes a report on the actual savings in overpayments, an adjustment of beneficiary burden, and an analysis of actual response rates
  Inventory as of this Action Requested Previously Approved
05/31/1989 05/31/1989
23,600 0 0
3,933 0 0
0 0 0

THE INFORMATI COLLECTED BY THE FORMS SSA-3161 AND SSA-3162 WILL TEST THE EFFECTIVENE OF THE USE OF A MAILER TO IDENTIFY TITLE II DISABILITY BENEFICIARIES WHO HAVE RETURNED TO WORK. THE AFFECTED PUBLIC IS COMPRISED OF SELECT DISABILITY INSURANCE BENEFICIARIES.

None
None


No

1
IC Title Form No. Form Name
DISABILITY RETURN TO WORK MAILER SSA-3161, SSA-3162

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 23,600 0 0 23,600 0 0
Annual Time Burden (Hours) 3,933 0 0 3,933 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
03/24/1988


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