Administrative Review Process for Adjudicating Initial Disability Claims Parts 404, 405, 416 and 422

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Addendum--0710.doc	Supplementary Document	Uploaded 2009-03-16	Available
Continuation of Item 2 of the Supporting Statement--0710.doc	Supplementary Document	Uploaded 2009-03-16	Available
Supporting Statement--0710.doc	Supporting Statement A	Uploaded 2009-03-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9767	20 CFR 404.961		Modified
187626	20 CFR 405.601(b)		New
187625	20 CFR 404.987 & 404.988		New
187624	20 CFR 404.982 & 405.505		New
187623	20 CFR 405.425(b) & 405.427(c)		New
187622	20 CFR 405.381 & 405.382		New
187621	20 CFR 405.380(a)		New
187620	20 CFR 404.957(a)		New
187619	20 CFR 405.334		New
187618	20 CFR 404.949		New
187617	20 CFR 404.950 (d)		New
187616	20 CFR 405.366		New
187615	20 CFR 405.330		New

ICR Details

OMB Control No: 0960-0710	ICR Reference No: 200812-0960-009
Status: Historical Active	Previous ICR Reference No: 200602-0960-005
Agency/Subagency: SSA	Agency Tracking No:
Title: Administrative Review Process for Adjudicating Initial Disability Claims Parts 404, 405, 416 and 422
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/28/2009
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/19/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2012	36 Months From Approved	04/30/2009
Responses	49,405	0	12,118
Time Burden (Hours)	17,024	0	5,598
Cost Burden (Dollars)	0	0	0

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Abstract: SSA collects information to establish (1) the claimant’s right to administrative review, (2) the severity of the claimant’s alleged impairments and (3) the level of performance by the State Disability Determination Services (DDSs). SSA then uses the information collected by these regulations to determine entitlement and/or eligibility to disability insurance benefits and/or Supplemental Security Income (SSI) and to enable appeals of these determinations. The respondents are applicants for Title II disability insurance benefits or SSI.

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Authorizing Statute(s): US Code: 42 USC 902
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 844	01/08/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 11804	03/19/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 13

table that charts list of burden

IC Title	Form No.	Form Name
20 CFR 404.949
20 CFR 404.950 (d)
20 CFR 404.957(a)
20 CFR 404.961
20 CFR 404.982 & 405.505
20 CFR 404.987 & 404.988
20 CFR 405.330
20 CFR 405.334
20 CFR 405.366
20 CFR 405.380(a)
20 CFR 405.381 & 405.382
20 CFR 405.425(b) & 405.427(c)
20 CFR 405.601(b)

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	49,405	12,118	0	37,287	0	0
Annual Time Burden (Hours)	17,024	5,598	0	11,426	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Cutting Redundancy

Short Statement: This package contains new information collections that will increase the public reporting burden. The vast majority of the burden hours are from part 404 of the regulations and many of those regulations were not included in the 2006 clearance package. Also, in 2006 when we first cleared the reporting requirements, we estimated much of the public burden. With this clearance package, we were able to provide better estimates based on real data.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/19/2009

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