Information Collection

Disability Report Update--20 CFR 404.1589-.1595 and 416.988-.996

IC 38013 under ICR 200409-0960-014 · OMB 0960-0511.

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Information Collection (IC) Details

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IC Title:	Disability Report Update--20 CFR 404.1589-.1595 and 416.988-.996	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-455-OCR-SM				Yes	Yes
Form	SSA-455				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 981,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 99 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	981,000	279,000	702,000
Annual IC Time Burden (Hours)	245,250	69,750	175,500
Annual IC Cost Burden (Dollars)	0	0	0

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Title	Document	Date Uploaded

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