Time Report of Personnel Services for Disability Determinination Services

ICR 199509-0960-005

OMB: 0960-0408

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
0960-0408 199509-0960-005
Historical Active 199506-0960-016
SSA
Time Report of Personnel Services for Disability Determinination Services
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 09/30/1995
Retrieve Notice of Action (NOA) 09/30/1995
  Inventory as of this Action Requested Previously Approved
09/30/1998 09/30/1998 09/30/1998
216 0 214
108 0 108
0 0 0

The information collection is used by SSA for budgeting and accounting for the funds used by state agencies for personnel involved in making disability determinations for SSA. The affected public consists of state agencies which make those determinations.

None
None


No

1
IC Title Form No. Form Name
Time Report of Personnel Services for Disability Determinination Services SSA-4514

  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 216 214 0 2 0 0
Annual Time Burden (Hours) 108 108 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.
09/30/1995


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