Information Collection

Notice Regarding Substitution of Party Upon Death of Claimant--Reconsiderationof Disability Cessation

IC 9238 under ICR 201211-0960-004 · OMB 0960-0351.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0351 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-770 Notice Regarding Substitution of Party Upon Death of Claimant--Reconsiderationof Disability Cessation	Form
SSA-770 Notice Regarding Substitution of Party Upon Death of Cla SSA-770 Revised Version.pdf	Form
SSA-770 Current Version.pdf SSA-770 Current Version	IC Document

IC Title:

Notice Regarding Substitution of Party Upon Death of Claimant--Reconsiderationof Disability Cessation

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 404.907-404.921 20 CFR 416.1407-416.1421

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	SSA-770	Notice Regarding Substitution of Party Upon Death of Claimant--Reconsideration of Disability Cessation	SSA-770 Revised Version.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: Survivor Compensation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,200	1,200
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
SSA-770 Current Version	SSA-770 Current Version.pdf	12/03/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.