Disability Report, Vocational Report

ICR 199710-0960-005

OMB: 0960-0141

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
166661 Migrated
ICR Details
0960-0141 199710-0960-005
Historical Active 199708-0960-016
SSA
Disability Report, Vocational Report
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 10/06/1997
Retrieve Notice of Action (NOA) 10/06/1997
  Inventory as of this Action Requested Previously Approved
12/31/1997 12/31/1997 12/31/1997
36,500 0 2,438,496
18,250 0 1,185,915
0 0 0

The information on forms SSA-3368 and SSA-3369 is used by the Social Security Administration to help make a disability deter- mination. The form is essential to case development and adjudi- cation. The respondents are individuals who file for disability benefits.

None
None


No

1
IC Title Form No. Form Name
Disability Report, Vocational Report 3368, 3369

  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 36,500 2,438,496 0 -2,401,996 0 0
Annual Time Burden (Hours) 18,250 1,185,915 0 -1,167,665 0 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.
10/06/1997


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