Request for Reconsideration--Disability Cessation--20 CFR, Subpart J. 404.409 & Sunpart N, 416.1409

ICR 200308-0960-003

OMB: 0960-0349

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0960-0349 200308-0960-003
Historical Active 200207-0960-008
SSA
Request for Reconsideration--Disability Cessation--20 CFR, Subpart J. 404.409 & Sunpart N, 416.1409
Extension without change of a currently approved collection   No
Regular
Approved without change 10/03/2003
Retrieve Notice of Action (NOA) 08/22/2003
  Inventory as of this Action Requested Previously Approved
10/31/2006 10/31/2006 10/31/2003
49,000 0 49,000
10,045 0 10,045
0 0 0

Form SSA-789 is used by SSA to schedule disability hearings and to develop additional evidence/information for claimants whose disability is found to have ceased, not to have existed, or to no longer be disabling. The information will also be used to determine if an interpreter is needed for the disability hearing. The respondents are claimants under Title II & XVI of the Social Security Act who wish to request reconsideration of disability cessation.

None
None


No

1
IC Title Form No. Form Name
Request for Reconsideration--Disability Cessation--20 CFR, Subpart J. 404.409 & Sunpart N, 416.1409 SSA-789

  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 49,000 49,000 0 0 0 0
Annual Time Burden (Hours) 10,045 10,045 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.
08/22/2003


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