Information Collection

Disability Determination and Transmittal 20 CFR 404.1615(e) and 416.1015(f)

IC 9300 under ICR 200802-0960-006 · OMB 0960-0437.

Documents and Forms

Document Name Document Type
Form SSA-831-C3/U3 Disability Determination and Transmittal 20 CFR 404.1615(e) and 416.1015(f) Form
SSA-831-C3/U3 Disability Determination and Transmittal SSA-831.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disability Determination and Transmittal 20 CFR 404.1615(e) and 416.1015(f)	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 416.1015(f) 20 CFR 404.1615(e)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-831-C3/U3	Disability Determination and Transmittal	SSA-831.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: 3,079,916	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,079,916	-120,084	3,200,000
Annual IC Time Burden (Hours)	769,979	-30,021	800,000
Annual IC Cost Burden (Dollars)	0	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.