Cessation or Continuance of Disability or Blindness Determination and Transmital

Cessation or Continuance of Disability or Blindness Determination and Transmittal

Documents and Forms

Document Name Document Type
Form SSA-833-C3/U3 Cessation or Continuance of Disability or Blindness Determination and Transmital Form
SSA-833-C3/U3 Cessation or Continuance of Disability or Blindness Dete SSA-833-C3-U3.pdf Form

Information Collection (IC) Details

IC Title:	Cessation or Continuance of Disability or Blindness Determination and Transmital	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 404.1615 20 CFR 404.1512 20 CFR 404.1588-404.1599

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-833-C3/U3	Cessation or Continuance of Disability or Blindness Determination and Transmittal	SSA-833-C3-U3.pdf		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: 190,507	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	190,507	-113,057	303,564
Annual IC Time Burden (Hours)	95,254	-56,528	151,782
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.