State Agency Report of Obligations for SSA Disability Programs and Addendum; Time Report of Personnel Services for Disability Determination Services & State Agency Schedule of Equipment.....

State Agency Report of Obligations for SSA Disability Programs and Addendum; Time Report of Personnel Services for Disability Determination Services & State Agency Schedule of Equipment.....

OMB: 0960-0421

IC ID: 9272

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State Agency Report of Obligations for SSA Disability Programs and Addendum; Time Report of Personnel Services for Disability Determination Services & State Agency Schedule of Equipment.....
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-4514 Yes Yes
Form SSA-871 Yes Yes
Form SSA-4513 Yes Yes


    

54 0
   
State, Local, and Tribal Governments
 
   20 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 648 0 0 432 0 216
Annual IC Time Burden (Hours) 756 0 0 540 0 216
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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