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Request for Reconsideration--Disability Cessation
Request for Reconsideration--Disability Cessation
OMB: 0960-0349
IC ID: 9232
OMB.report
SSA
OMB 0960-0349
ICR 201801-0960-005
IC 9232
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0349 can be found here:
2024-07-19 - No material or nonsubstantive change to a currently approved collection
2021-06-25 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
SSA-789 - Revised PA Statement.pdf
www.ssa.gov
Other-Revised Privacy Act Statement
SSA-789 Request for Reconsideration--Disability Cessation
SSA-789 - Revised Version.pdf
www.ssa.gov
Form
SSA-789 - Current Version.pdf
Current SSA-789
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Request for Reconsideration--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 416.1409
20 CFR 404.909
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Revised Privacy Act Statement
SSA-789 - Revised PA Statement.pdf
www.ssa.gov
Yes
No
Printable Only
Form
SSA-789
Request for Reconsideration--Disability Cessation
SSA-789 - Revised Version.pdf
www.ssa.gov
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
30,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
30,000
0
0
0
0
30,000
Annual IC Time Burden (Hours)
6,500
0
0
0
0
6,500
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Current SSA-789
SSA-789 - Current Version.pdf
05/09/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.