Physical Residual Functional Capacity Assessment and Mental Residual Capacity Assessment

Physical Residual Functional Capacity Assessment and Mental Residual Capacity Assessment

OMB: 0960-0431

IC ID: 9288

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Physical Residual Functional Capacity Assessment and Mental Residual Capacity Assessment
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-4734-F4-SUP No No
Form 416.945-46 No No
Form SSA-4734-BK No No
Form 20-CFR-404.1545 No No
Form 20-CFR-404.1546 No No


    

2,421,865 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,421,865 0 0 1,291,093 0 1,130,772
Annual IC Time Burden (Hours) 807,288 0 0 430,364 0 376,924
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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