Disability Hearing Officer's Decision

ICR 199505-0960-001

OMB: 0960-0441

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
115555 Migrated
ICR Details
0960-0441 199505-0960-001
Historical Active 199202-0960-005
SSA
Disability Hearing Officer's Decision
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/12/1995
Retrieve Notice of Action (NOA) 05/02/1995
  Inventory as of this Action Requested Previously Approved
07/31/1998 07/31/1998
14,110 0 0
10,582 0 0
0 0 0

The form is used as an official document to record Disability Hearing Officer's decision. The respondents are Disability Hearings Officers in State Disability Determination Services.

None
None


No

1
IC Title Form No. Form Name
Disability Hearing Officer's Decision SSA-1207, SSA-1207-SUP-1, SSA-1207-SUP-3, SSA-1207-SUP-4, SSA-1207-SUP-5

  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 14,110 0 0 14,110 0 0
Annual Time Burden (Hours) 10,582 0 0 10,582 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.
05/02/1995


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