Information Collection

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

IC 9232 under ICR 200608-0960-001 · OMB 0960-0349.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
PRA--0349.doc	Other-Revised PRA Statement for Form
SSA-789 Request for Reconsideration--Disability Cessation SSA-789.pdf	Form

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.