Information Collection

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

IC 9264 under ICR 200308-0960-005 · OMB 0960-0413.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0413 can be found here:

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Information Collection (IC) Details

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IC Title:	Psychiatric Review Technique - 20 CFR, Subpart P, 404.1520(a) Subpart 1, 416.920(a)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-2506-BK				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	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 Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,253,703	247,899	1,005,804
Annual IC Time Burden (Hours)	313,426	61,975	251,451
Annual IC Cost Burden (Dollars)	0	0	0

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