Psychiatric Review Technique - 20 CFR, Subpart P, 404.1520(a) Subpart 1, 416.920(a)

ICR 200308-0960-005

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
ICR Details
0960-0413 200308-0960-005
Historical Active 200008-0960-005
SSA
Psychiatric Review Technique - 20 CFR, Subpart P, 404.1520(a) Subpart 1, 416.920(a)
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
1,253,703 0 1,005,804
313,426 0 251,451
0 0 0

Form SSA-2506-BK assists the Disability Determination Services (DDS) in evaluating mental impairments. The respondents are 54 State DDSs administering Title II and Title XVI disability programs.

None
None


No

1
IC Title Form No. Form Name
Psychiatric Review Technique - 20 CFR, Subpart P, 404.1520(a) Subpart 1, 416.920(a) SSA-2506-BK

  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 1,253,703 1,005,804 0 247,899 0 0
Annual Time Burden (Hours) 313,426 251,451 0 61,975 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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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