Information Collection

Medical Consultant's Review of Psychiatric Review Technique Form, 20 CFR 404.1520a, 1640, 1645

IC 9731 under ICR 200309-0960-006 · OMB 0960-0677.

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Information Collection (IC) Details

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IC Title:	Medical Consultant's Review of Psychiatric Review Technique Form, 20 CFR 404.1520a, 1640, 1645	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	SSA-3023				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 256	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	68,000	68,000
Annual IC Time Burden (Hours)	13,600	13,600
Annual IC Cost Burden (Dollars)	0	0

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