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

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

Information Collection (IC) Details

View Information Collection (IC)

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

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 %

	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

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.