Vocational Report

ICR 199810-0960-005

OMB: 0960-0572

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
38036 Migrated
ICR Details
0960-0572 199810-0960-005
Historical Active 199712-0960-001
SSA
Vocational Report
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/01/1998
Retrieve Notice of Action (NOA) 10/01/1998
  Inventory as of this Action Requested Previously Approved
12/31/1998 12/31/1998 12/31/1998
42,640 0 1,000,000
21,320 0 500,000
0 0 0

The information collected on form SSA-3369-F6 will be used by the Disability Determination Services in the determination of disability. The form records information about the claimant's work history in the past 15 years. This information is compared to the claimant's residual functional capacity to determine if the claimant is able to perform his or her usual job or other jobs.

None
None


No

1
IC Title Form No. Form Name
Vocational Report SSA-3369-F6

  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 42,640 1,000,000 0 -957,360 0 0
Annual Time Burden (Hours) 21,320 500,000 0 -478,680 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.
10/01/1998


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