This ICR is
approved on the understanding that respondents do not have to
supply the same information twice (once to state agencies and then
again to SSA OMVE), even though the supporting statement says that
states and SSA collect the same information. Rather, at the point
in time that this information is being collected, it is either
collected by the state DDS (because they are processing the case)
or it is collected by OMVE (because we are processing the case),
not by both.
Inventory as of this Action
Requested
Previously Approved
09/30/2010
36 Months From Approved
168
0
0
14
0
0
0
0
0
The individual's treating physician
(TP) is the preferred source to perform a consultative examination
(CE). SSA uses the SSA-84 to ascertain whether the TP is interested
in performing the CE. This form is sent to the claimant's treating
physician along with the medical evidence of record request letter.
If the treating physician is interested in performing the CE, he or
she indicates interest by completing the SSA-84 and returning it to
SSA. If the form is not returned, SSA assumes that the TP is not
interested in performing the CE. Respondents are the claimants
treating physicians.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.