Information Collection

Disability Hearing Officer's Decision-Title XVI Disabled Child Continuing Disability Review 20 CFR 404.913-914

IC 9701 under ICR 200608-0960-005 · OMB 0960-0657.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-1209 Disability Hearing Officer's Decision-Title XVI Disabled Child Continuing Disability Review 20 CFR 404.913-914	Form
PRA--0657.doc	Other-Updated PRA Statement
SSA-1209 Disability Hearing Officer's Decision--Title XVI Disable 1209.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 404.917 20 CFR 416.994a 20 CFR 404.913-.914 20 CFR 416.1417 20 CFR 416.1413-.1414

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
Form	SSA-1209	Disability Hearing Officer's Decision--Title XVI Disabled Child (DC) Continuing Disability Review	1209.pdf		No		Paper Only
Other-Updated PRA Statement			PRA--0657.doc		No		Paper Only

Line of Business: International Affairs and Commerce

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 35,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	35,000	35,000
Annual IC Time Burden (Hours)	43,750	43,750
Annual IC Cost Burden (Dollars)	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.