Information Collection

Medical Consultant's Review of Mental Residual Functional Capacity Assessment

IC 43713 under ICR 200905-0960-005 · OMB 0960-0678.

Documents and Forms

Document Name Document Type
Form SSA-392-SUP Medical Consultant's Review of Mental Residual Functional Capacity Assessment Form
SSA-392-SUP Medical Consultant's Review of Mental Residual Functiona SSA 392-SUP.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Medical Consultant's Review of Mental Residual Functional Capacity Assessment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 404.1645 20 CFR 404.1520a 20 CFR 404.1640 20 CFR 404.1643 20 CFR 416.920

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-392-SUP	Medical Consultant's Review of Mental Residual Functional Capacity Assessment	SSA 392-SUP.pdf		No		Printable Only

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: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	45,000	45,000
Annual IC Time Burden (Hours)	9,000	9,000
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.