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Disability Hearing Officer's Decision
Disability Hearing Officer's Decision
OMB: 0960-0441
IC ID: 37995
OMB.report
SSA
OMB 0960-0441
ICR 200212-0960-014
IC 37995
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0441 can be found here:
2007-03-26 - Extension without change of a currently approved collection
2004-05-07 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Disability Hearing Officer's Decision
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SUP3
No
No
Form
SSA-1207
No
No
Form
SUP5
No
No
Form
SSA-1207-SUP1
No
No
Form
SUP4
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
65,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
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
65,000
0
-35,000
0
0
100,000
Annual IC Time Burden (Hours)
48,750
0
-26,250
0
0
75,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.