Information Collection

Development of Participation in a Vocational Rehabilitation or Similar Program

IC 9186 under ICR 200805-0960-016 · OMB 0960-0282.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0282 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-4290 Development of Participation in a Vocational Rehabilitation or Similar Program	Form
SSA-4290 Development of Participation in a Vocational Rehabilitat 0960-0282 (ssa-4290).pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Development of Participation in a Vocational Rehabilitation or Similar Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 416.1320(d) 20 CFR 416.1331(a)-(b) 20 CFR 416.1338 20 CFR 416.1338(c)-(d) 20 CFR 404.316(c) 20 CFR 404.337(c) 20 CFR 404.352(d) 20 CFR 404.1597(a) 20 CFR 404.327 20 CFR 404.328 20 CFR 404.1586(g) 20 CFR 404.1596

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-4290	Development of Participation in a Vocational Rehabilitation or Similar Program	0960-0282 (ssa-4290).pdf		No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,000

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,000	3,000
Annual IC Time Burden (Hours)	750	750
Annual IC Cost Burden (Dollars)	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.