Information Collection

Disability Hearing Officer's Decision

IC 37995 under ICR 200212-0960-014 · OMB 0960-0441.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0441 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

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:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SUP3	No	No
Form	SSA-1207	No	No
Form	SUP5	No	No
Form	SSA-1207-SUP1	No	No
Form	SUP4	No	No

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	65,000	-35,000	100,000
Annual IC Time Burden (Hours)	48,750	-26,250	75,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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