Cessation or Continuance of Disability or Blindness Determination and Transmittal-Title XVI, 20 CFR

ICR 200412-0960-008

OMB: 0960-0443

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0960-0443 200412-0960-008
Historical Active 200409-0960-013
SSA
Cessation or Continuance of Disability or Blindness Determination and Transmittal-Title XVI, 20 CFR
Extension without change of a currently approved collection   No
Regular
Approved without change 02/14/2005
Retrieve Notice of Action (NOA) 12/28/2004
  Inventory as of this Action Requested Previously Approved
02/29/2008 02/29/2008 02/28/2005
402,250 0 402,250
201,113 0 201,113
0 0 0

The information on Form SSA-832-U3/C3 is used by SSA to document determinations as to whether an individual's disability benefits should be terminated or continued on the basis of his/her impairment. The respondents are State DDS employees adjudicating Title XVI Disability claims.

None
None


No

1
IC Title Form No. Form Name
Cessation or Continuance of Disability or Blindness Determination and Transmittal-Title XVI, 20 CFR SSA-832-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 402,250 402,250 0 0 0 0
Annual Time Burden (Hours) 201,113 201,113 0 0 0 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.
12/28/2004


© 2024 OMB.report | Privacy Policy