Justification for the Non-Substantive Change to 0960-0579

Justification for Non-Substantive Change to Form SSA-3368

Disability Report - Adult

20 CFR 404.1512 and 416.912

OMB No. 0960-0579

Terms of Clearance

This ICR is approved consistent with the 12-19-07 memo and the agreed-upon revisions to the instrument to minimize respondent burden. Although this ICR has undergone numerous revisions in the past, the revisions have not been substantive enough to make previous editions obsolete. As per the 12-19-07 memo, previous versions of this form continue to be used until the stock is used up. For this reason, SSA is not required to print the expiration date for the OMB control number on these forms. However, should this form undergo more substantive changes in the future, SSA agrees to consider printing the expiration date on the forms.

Per the Terms of Clearance, SSA has made the agreed-upon revisions to the collection instruments consistent with the 12-19-07 memo. SSA understands that we are not required to print the expiration date for the OMB Control Number on these forms unless we request more substantive changes in the future.

Justification for Non-Substantive Changes to the Collection

SSA is planning to modify the Internet and Electronic Disability Collect System (EDCS) screens for the SSA-3368 to include questions claims representatives (CRs) will ask when the claimant alleges cancer. EDCS is the gateway to the Electronic Folder (EF), and houses an electronic version of the SSA-3368. The EF begins with the Field Offices as they collect all disability and medical source information and record it into EDCS.

The additional questions will prompt CRs to obtain type and stages of cancer, merely clarifying the illness claimed in Section 2, A of the collection instrument. Clarifying the type and stage of cancer will allow EDCS to flag these cases for fast-tracked initial decisions. The EDCS flag will assist SSA in determining whether the claimant’s cancer qualifies for a fast-tracked initial decision, resulting in expedited processing. Even if the claimant’s cancer does not qualify for a fast-tracked initial decision, the answer to these two questions will greatly assist adjudicators in determining the claim. SSA expects very little time to ask and answer these questions, but great benefit for the claimants and DDS adjudicators.