Summary of Evidence

ICR 199808-0960-007

OMB: 0960-0430

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
9282 Migrated
ICR Details
0960-0430 199808-0960-007
Historical Active 199506-0960-014
SSA
Summary of Evidence
Extension without change of a currently approved collection   No
Regular
Approved without change 09/28/1998
Retrieve Notice of Action (NOA) 08/31/1998
  Inventory as of this Action Requested Previously Approved
09/30/2001 09/30/2001 09/30/1998
22,024 0 22,024
5,506 0 5,506
0 0 0

The information on form SSA-887 is used by State Disability Determination Services (DDS) to provide claimants with a list of medical/vocational reports pertaining to their disability. The form will aid claimants in reviewing the evidence in their folders and will be used by hearing officers in preparing for and conducting hearings. The respondents are State DDSs that make disability determinations.

None
None


No

1
IC Title Form No. Form Name
Summary of Evidence SSA-887

  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 22,024 22,024 0 0 0 0
Annual Time Burden (Hours) 5,506 5,506 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.
08/31/1998


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