Disability Report - Child (Internet)

Disability Report - Child

OMB: 0960-0577

IC ID: 179519

Documents and Forms
Document Name
Document Type
Other-Disability Report - Child (Int
Information Collection (IC) Details

View Information Collection (IC)

Disability Report - Child (Internet)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.912

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Disability Report - Child (Internet) i3820 screens (current).pdf http://eis.ba.ssa.gov/i3820 Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

176,572 0
   
Individuals or Households
 
   8 %

  Requested 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 176,572 0 0 57,108 0 119,464
Annual IC Time Burden (Hours) 353,144 0 0 114,216 0 238,928
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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