Psychiatric Review Technique

ICR 200008-0960-005

OMB: 0960-0413

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
9263 Migrated
ICR Details
0960-0413 200008-0960-005
Historical Active 200002-0960-009
SSA
Psychiatric Review Technique
Revision of a currently approved collection   No
Regular
Approved without change 09/14/2000
Retrieve Notice of Action (NOA) 08/17/2000
  Inventory as of this Action Requested Previously Approved
10/31/2003 10/31/2003 03/31/2003
1,005,804 0 1,005,804
251,451 0 251,451
0 0 0

The information collected on Form SSA-2506 is needed by SSA to facilitate the adjudication of claims involving mental impairments. The information is used to identify the need for additional evidence for the determination of impairment severity; to consider apsects of mental impairment relevant to the individual's ability to work; and to organize and present the findings in a clear, concise manner. The respondents are State DDS's administering titles II and XVI disability programs.

None
None


No

1
IC Title Form No. Form Name
Psychiatric Review Technique SSA-2506

  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 1,005,804 1,005,804 0 0 0 0
Annual Time Burden (Hours) 251,451 251,451 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.
08/17/2000


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