Report on Individual with Mental Impairment--Private Sector

Report on Individual with Mental Impairment

OMB: 0960-0058

IC ID: 8976

Information Collection (IC) Details

View Information Collection (IC)

Report on Individual with Mental Impairment--Private Sector
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1513 20 CFR 416.913

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-824 Report on Individual with Mental Impairment SSA-824.pdf No   Paper Only

Income Security General Retirement and Disability

 

250 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 250 0 0 -24,750 0 25,000
Annual IC Time Burden (Hours) 150 0 0 -14,850 0 15,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current Version SSA-824 SSA-824 Current Version.pdf 08/22/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy