Information Collection

Request for Reconsideration--Paper and MCS/MSSICS

IC 43709 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⚠️ Notice: This information collection may be referencing outdated material.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 SSA-561-U2 Request for Reconsideration--Paper and MCS/MSSICS	Form
SSA-561-U2 Request for Reconsideration SSA-561-U2 Final.pdf	Form
SSA-561-U2 (MSSICS Request for Reconsideration MSSICS Appeals Screens in Path Order.doc	Form
SSA-561-U2 (MCS Sc Request for Reconsideration SSA-561-U2 MCS Screens.pdf	Form

IC Title:

Request for Reconsideration--Paper and MCS/MSSICS

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

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-561-U2	Request for Reconsideration	SSA-561-U2 Final.pdf	No		Paper Only
Form	SSA-561-U2 (MCS Screens)	Request for Reconsideration	SSA-561-U2 MCS Screens.pdf	Yes	Yes	Fillable Fileable Signable
Form	SSA-561-U2 (MSSICS Screens)	Request for Reconsideration	MSSICS Appeals Screens in Path Order.doc	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: 95 %

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)	97,447	97,447
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.