Information Collection

Psychiatric Review Technique - 20 CFR 404.1520(a), 20 CFR 416.920(a)

IC 9264 under ICR 200608-0960-002 · OMB 0960-0413.

Documents and Forms

Document Name Document Type
Form SSA-2506-BK Psychiatric Review Technique - 20 CFR 404.1520(a), 20 CFR 416.920(a) Form
SSA-2506-BK Psychiatric Review Technique PRTF_for.pdf co.ba.ssa.gov/eForms/forms/formselector.htm Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Psychiatric Review Technique - 20 CFR 404.1520(a), 20 CFR 416.920(a)	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 404.1520a 20 CFR 416.920a

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-2506-BK	Psychiatric Review Technique	PRTF_for.pdf	http://co.ba.ssa.gov/eForms/forms/formselector.htm	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 52	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 80 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,070,940	-182,763	1,253,703
Annual IC Time Burden (Hours)	267,735	-45,691	313,426
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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