Removing Inability to Communicate in English as an Education Category

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-3373 0960-0681 - Function Report-Adult	Form	New	Available
Form SSA-3380 0960-0635 - Function Report-Adult Third Party	Form	New	Available
Form SSA-3368 0960-0579 - SSA-3368 - Disability Report-Adult	Form	New	Available
Form SSA-3441 0960-0144 - SSA-3441 - Disability Report-Appeal	Form	New	Available
Form SSA-454-BK 0960-0072 - SSA-454 - Continuing Disability Review Report	Form	New	Available
Addendums for RIN 0960-AH86.pdf	Supplementary Document	Uploaded 2019-02-01	Available
Supporting Statements for RIN 0960-AH86.pdf	Supporting Statement A	Uploaded 2019-02-01	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234811	0960-0681 - Function Report-Adult	Form	New
234810	0960-0635 - Function Report-Adult Third Party	Form	New
234806	0960-0579 - SSA-3368 - Disability Report-Adult	Form	New
234805	0960-0144 - SSA-3441 - Disability Report-Appeal	Form	New
234804	0960-0072 - SSA-454 - Continuing Disability Review Report	Form	New

ICR Details

OMB Control No: 0960-0813	ICR Reference No: 201901-0960-009
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: Removing Inability to Communicate in English as an Education Category
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 06/10/2019
	Date Received in OIRA: 02/04/2019
Terms of Clearance: OMB files this comment in accordance with 5 CFR 1320.11( c ). This OMB action is not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act of1995. This action has no effect on any current approvals.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: We are creating this ICR as a placeholder for ICR's being updated due to the Removing Inability to Communicate in English as an Education Category Regulation.

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Authorizing Statute(s): EO: EO 13771 Name/Subject of EO: null
   EO: EO 12866 Name/Subject of EO: null
   EO: EO 13563 Name/Subject of EO: null
   EO: EO 13132 Name/Subject of EO: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0960-AH86	Proposed rulemaking	84 FR 1006	02/01/2019

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
0960-0635 - Function Report-Adult Third Party	SSA-3380	Function Report - Adult Third Party
0960-0681 - Function Report-Adult	SSA-3373	Function Report - Adult
0960-0072 - SSA-454 - Continuing Disability Review Report	SSA-454-BK	Continuing Disability Review Report
0960-0144 - SSA-3441 - Disability Report-Appeal	SSA-3441	Disability Report-Appeal
0960-0579 - SSA-3368 - Disability Report-Adult	SSA-3368	Disability Report - Adult

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: We created this ICR to obtain OMB approval for the revisions we are making to these forms as part of the Rulemaking process for the Removing the Education Category - Inability to Communicate in English - from the Disability Determination Process, RIN 0960-AH86.

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Annual Cost to Federal Government: $55,389,610

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/04/2019

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