Information Collection

Listing of Impairments

IC 9674 under ICR 200708-0960-013 · OMB 0960-0642.

Documents and Forms

Document Name Document Type
Medical Listings 404-ap10.pdf www.socialsecurity.gov/OP_Home/cfr20/404/404-ap10.htm Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Listing of Impairments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.1512-404.1515 20 CFR 416.912-416.915

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Medical Listings 404-ap10.pdf	http://www.socialsecurity.gov/OP_Home/cfr20/404/404-ap10.htm	Yes	No	Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1	1
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	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.