WORK ACTIVITY REPORT-SELF EMPLOYED PERSON - WORK ACTIVITY REPORT-EMPLOYEE

ICR 198906-0960-020

OMB: 0960-0059

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0059 198906-0960-020
Historical Active 198704-0960-007
SSA
WORK ACTIVITY REPORT-SELF EMPLOYED PERSON - WORK ACTIVITY REPORT-EMPLOYEE
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/26/1989
Approved with change 06/26/1989
Retrieve Notice of Action (NOA) 06/26/1989
  Inventory as of this Action Requested Previously Approved
06/30/1990 06/30/1990 06/30/1990
200,000 0 200,000
100,000 0 100,000
0 0 0

PERSON, EMPLOYEE'. THE INFORMATION COLLECTED BY THESE FORMS IS NEEDED TO HELP DETERMINE IF AN INDIVIDUAL CAN MEET THE DISABILITY PROVISIONS FOR INITIAL OR CONTINUING ENTITLEMENT TO SOCIAL SECURITY DISABILITY BENEFITS. THE AFFECTED PUBLIC CONSISTS OF APPLICANTS OR CLAIMANTS FOR DISABILITY BENEFITS WHO ARE OR WERE ENGAGING IN SUBSTANTIAL GAINFUL ACTIVITY.

None
None


No

1
IC Title Form No. Form Name
WORK ACTIVITY REPORT-SELF EMPLOYED PERSON - WORK ACTIVITY REPORT-EMPLOYEE SSA-820, 821

  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 200,000 200,000 0 0 0 0
Annual Time Burden (Hours) 100,000 100,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
06/26/1989


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