Notification of Projected Completion Date

ICR 199504-0960-003

OMB: 0960-0429

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
115520 Migrated
ICR Details
0960-0429 199504-0960-003
Historical Active 199110-0960-004
SSA
Notification of Projected Completion Date
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 06/09/1995
Retrieve Notice of Action (NOA) 04/03/1995
  Inventory as of this Action Requested Previously Approved
07/31/1998 07/31/1998
20 0 0
2 0 0
0 0 0

The form SSA-891 is used by the Social Security Administration and the State disability determination services to notify disability hearings units (DHU) that a specific hearing case will not be completed and forwarded to the DHU as originally scheduled. The respondents are State disability determination services staffs.

None
None


No

1
IC Title Form No. Form Name
Notification of Projected Completion Date SSA-891

  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 20 0 0 20 0 0
Annual Time Burden (Hours) 2 0 0 2 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.
04/03/1995


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