Information Collection

Request for Reconsideration--Internet version (i561)

IC 180746 under ICR 201002-0960-025 · OMB 0960-0622.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0622 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form i561 (Internet Ver Request for Reconsideration--Internet version (i561)	Form and Instruction
i561 (Internet Ver Request for Reconsideration iAppeals Screens SSA-561.pdf	Form and Instruction

IC Title:

Request for Reconsideration--Internet version (i561)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 418.1325 20 CFR 404.907-404.921 20 CFR 416.1407-416.1421 20 CFR 418.1009

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 and Instruction	i561 (Internet Version)	Request for Reconsideration	iAppeals Screens SSA-561.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: 730,850

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	730,850	730,850
Annual IC Time Burden (Hours)	243,617	243,617
Annual IC Cost Burden (Dollars)	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.