Information Collection

Report of New Information in Disability Cases

IC 9013 under ICR 200810-0960-011 · OMB 0960-0071.

Documents and Forms

Document Name Document Type
Form SSA-612 Report of New Information in Disability Cases Form
SSA-612 Report of New Information in isability Cases SSA-612.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Report of New Information in Disability Cases	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 404.460 20 CFR 404.1588 20 CFR 404.468 20 CFR 404.408

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-612	Report of New Information in isability Cases	SSA-612.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: 27,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	27,000	27,000
Annual IC Time Burden (Hours)	2,250	2,250
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.