Information Collection

Medical Consultant's Review of Mental Residual Functional Capacity Assessment

IC 43713 under ICR 200607-0960-009 · OMB 0960-0678.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0678 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Medical Consultant's Review of Mental Residual Functional Capacity Assessment	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.	Available Electronically?	Can Be Submitted Electronically?
Form	20CFR-404.1520A	Yes	Yes
Form	416.920A	Yes	Yes
Form	20CFR-404.1645	Yes	Yes
Form	20CFR-404.1640	Yes	Yes
Form	SSA-392-SUP	Yes	Yes

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: Individuals or Households

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Previously Approved
Annual Number of Responses for this IC	45,000	45,000
Annual IC Time Burden (Hours)	9,000	9,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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