Request for Reconsideration--Disability Cessation--20 CFR 404.409 & 20 CFR 416.1409

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0349 can be found here:

Documents and Forms

Document Name Document Type
PRA--0349.doc Other-Revised PRA Statement for Form
SSA-789 Request for Reconsideration--Disability Cessation SSA-789.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Reconsideration--Disability Cessation--20 CFR 404.409 & 20 CFR 416.1409	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1409 20 CFR 404.909

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Revised PRA Statement for Form SSA-789-U4			PRA--0349.doc		No		Paper Only
Form	SSA-789	Request for Reconsideration--Disability Cessation	SSA-789.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 49,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	49,000	0	49,000
Annual IC Time Burden (Hours)	10,617	572	10,045
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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