DISABILITY HEARING OFFICER'S REPORT OF DISABILITY HEARING

ICR 199202-0960-008

OMB: 0960-0440

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
0960-0440 199202-0960-008
Historical Active 198907-0960-001
SSA
DISABILITY HEARING OFFICER'S REPORT OF DISABILITY HEARING
Revision of a currently approved collection   No
Regular
Approved without change 05/01/1992
Retrieve Notice of Action (NOA) 02/26/1992
  Inventory as of this Action Requested Previously Approved
04/30/1995 04/30/1995 09/30/1992
8,354 0 25,315
8,354 0 12,658
0 0 0

THE FORM SSA-1205 IS USED BY DISABILITY HEARING OFFICERS TO CONDUCT DISABILITY HEARINGS. THE FORM SERVES AS A GUIDE IN CONDUCTING THE HEARINGS AND ENSURES THAT ALL PERTINENT ISSUES ARE CONSIDERED. IT ALS PROVIDES A RECORD OF THE HEARING. THE RESPONDENTS ARE DISABILITY HEARINGS OFFICERS IN THE STATE DISABILITY DETERMINATIONS STAFFS.

None
None


No

1
IC Title Form No. Form Name
DISABILITY HEARING OFFICER'S REPORT OF DISABILITY HEARING SSA-1205

  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 8,354 25,315 0 -9,852 -7,109 0
Annual Time Burden (Hours) 8,354 12,658 0 -2,500 -1,804 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
02/26/1992


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