Information Collection

Medical or Psychological Consultant's Review of Childhood Disability Evaluation Form (SSA-538)

IC 43712 under ICR 200812-0960-013 · OMB 0960-0675.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-536 Medical or Psychological Consultant's Review of Childhood Disability Evaluation Form (SSA-538)	Form
SSA-536 Medical or Psychological Consultant's Review of Childhoo Final SSA-536 draft 081503 ODPQ-CPT (collection).pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 416.1043 20 CFR 416.1045 20 CFR 416.1040 20 CFR 416.924(g)

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-536	Medical or Psychological Consultant's Review of Childhood Disability Evaluation Form	Final SSA-536 draft 081503 ODPQ-CPT (collection).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: 256

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	16,896	-104	17,000
Annual IC Time Burden (Hours)	3,379	-21	3,400
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.