Disability Report - Child (Paper)

Disability Report - Child

OMB: 0960-0577

IC ID: 9538

Information Collection (IC) Details

View Information Collection (IC)

Disability Report - Child (Paper)
 
No Modified
 
Voluntary
 
20 CFR 416.912

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-3820-BK Disability Report - Child SSA-3820 (revised).pdf No   Paper Only
Form SSA-3820-BK Disability Report - Child SSA-3820-BK Revised fillable PDF.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

 

500 0
   
Individuals or Households
 
   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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 750 0 0 0 0 750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-3820-BK Disability Report - Child Current Version SSA-3820-BK Current Version.pdf 05/14/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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