Response to Notice of Revised Determination

Response to Notice of Revised Determination

OMB: 0960-0347

IC ID: 9225

Information Collection (IC) Details

View Information Collection (IC)

Response to Notice of Revised Determination
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1413-.1414 20 CFR 416.1492(d) 20 CFR 404.992(b) 20 CFR 404.913-.914

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-765 Response to Notice of Revised Determination Form SSA-765 with new statements.pdf No   Paper Only

Income Security General Retirement and Disability

 

1,925 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,925 0 0 0 0 1,925
Annual IC Time Burden (Hours) 963 0 0 0 0 963
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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