Information Collection

Cessation or Continuance of Disability or Blindness Determination and Transmital

IC 9311 under ICR 200803-0960-023 · OMB 0960-0442.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

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-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 %

table that charts list of burden
	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

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.