Appointed Representatives - Availability Changes

Automated Scheduling Application (ASA)

OMB: 0960-0797

IC ID: 202015

Documents and Forms
Document Name
Document Type
Other-Internet Screens
Other-Intranet Screens
Information Collection (IC) Details

View Information Collection (IC)

Appointed Representatives - Availability Changes
 
No Unchanged
 
Voluntary
 
20 CFR 404.950 20 CFR 416.1429 20 CFR 416.1436 20 CFR 416.1450-416.1451 20 CFR 404.929 20 CFR 404.936

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internet Screens External Automated Scheduling Screen Flows.pdf Yes Yes Fillable Fileable Signable
Other-Intranet Screens Internal Automated Scheduling Screen Flows.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

16,600 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 99,600 0 0 0 0 99,600
Annual IC Time Burden (Hours) 13,280 0 0 0 0 13,280
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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