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 Function Report - Adult	Form	Modified	Available
Form SSA-3380 Function Report - Adult Third Party	Form	Modified	Available
Form SSA-3368 Disability Report - Adult	Form	Modified	Available
Form SSA-3441 Disability Report-Appeal	Form	Modified	Available
Form SSA-454-BK Continuing Disability Review Report	Form	Modified	Available
Combined Supporting Statements for English Final Rule - RIN 0960-AH86.pdf	Supporting Statement A	Uploaded 2020-02-25	Available
Combined Addendums for English Final Rule - RIN 0960-AH86.pdf	Supplementary Document	Uploaded 2020-02-25	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
234811	0960-0681 - Function Report-Adult	Form	Modified	Function Report - Adult
234810	0960-0635 - Function Report-Adult Third Party	Form	Modified	Function Report - Adult Third Party
234806	0960-0579 - SSA-3368 - Disability Report-Adult	Form	Modified	Disability Report - Adult
234806	0960-0579 - SSA-3368 - Disability Report-Adult	Other-EDCS Screens	Modified
234805	0960-0144 - SSA-3441 - Disability Report-Appeal	Form	Modified	Disability Report-Appeal
234805	0960-0144 - SSA-3441 - Disability Report-Appeal	Other-i3441 Screens	Modified
234804	0960-0072 - SSA-454 - Continuing Disability Review Report	Form	Modified	Continuing Disability Review Report
234804	0960-0072 - SSA-454 - Continuing Disability Review Report	Other-EDCS Screens	Modified

ICR Details

OMB Control No: 0960-0813	ICR Reference No: 202002-0960-008
Status: Historical Active	Previous ICR Reference No: 201901-0960-009
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: Approved without change	Conclusion Date: 03/18/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/25/2020
Terms of Clearance: OIRA approves this ICR as its revisions to the following OMB Control numbers: 0960-0072 (SSA-454; i454); 0960-0144 (SSA-3441; i3441); 0960-0579 (SSA-3368; i3368); 0960-0632 (SSA-3380-BK); and 0960-0681. The agency shall in a timely fashion, update the associated OMB control numbers with the approved revisions. After completing the updates, the agency shall discontinue this OMB control number.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	36 Months From Approved
Responses	6,004,465	0	0
Time Burden (Hours)	6,934,186	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 13563
   EO: EO 13132
   EO: EO 13771
   EO: EO 12866
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0960-AH86	Final or interim final rulemaking	85 FR 10586	02/25/2020

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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
0960-0072 - 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
0960-0635 - Function Report-Adult Third Party	SSA-3380	Function Report - Adult Third Party
0960-0681 - Function Report-Adult	SSA-3373	Function Report - Adult

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,004,465	0	0	0	6,004,465	0
Annual Time Burden (Hours)	6,934,186	0	0	0	6,934,186	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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 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. Once we receive approval for this ICR, we will update the individual ICRs referenced in this request via Change Requests, and discontinue this ICR.

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Annual Cost to Federal Government: $96,852,071

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: 02/25/2020

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