Cessation or Continuance of Disability or Blindness Determination and Transmittal

ICR 200409-0960-012

OMB: 0960-0442

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
0960-0442 200409-0960-012
Historical Active 200202-0960-006
SSA
Cessation or Continuance of Disability or Blindness Determination and Transmittal
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/29/2004
Retrieve Notice of Action (NOA) 09/29/2004
  Inventory as of this Action Requested Previously Approved
04/30/2005 04/30/2005 04/30/2005
354,450 0 544,844
177,225 0 272,422
0 0 0

The information on Form SSA-833-C3/U3 is used by SSA to make determinations of whether individuals receiving title II disability benefits continue to be unable to engage in substantial gainful activity and are still eligible to receive benefits. The respondents are State Disability Determination Services employees.

None
None


No

1
IC Title Form No. Form Name
Cessation or Continuance of Disability or Blindness Determination and Transmittal SSA-833-C3/U3

  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 354,450 544,844 0 0 -190,394 0
Annual Time Burden (Hours) 177,225 272,422 0 0 -95,197 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.
09/29/2004


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