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We Need Important Information About Your Eligibility for Social Security Disability Benefits
We Need Important Information About Your Eligibility for Social Security Disability Benefits
OMB: 3206-0216
IC ID: 33720
OMB.report
OPM
OMB 3206-0216
ICR 202010-3206-010
IC 33720
( )
Documents and Forms
Document Name
Document Type
Form RI 98-7
We Need Important Information About Your Eligibility for Social Security Disability Benefits
Form and Instruction
RI 98-7 We Need Important Information About Your Eligibility for
RI98-007_2020_07_Revised.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
We Need Important Information About Your Eligibility for Social Security Disability Benefits
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
5 CFR 844 Subpart C
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
RI 98-7
We Need Important Information About Your Eligibility for Social Security Disability Benefits_Revised
RI98-007_2020_07_Revised.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Central Personnel
Privacy Act System of Records
Title:
OPM/Central-1 Retirement
FR Citation:
73 FR 15013
Number of Respondents:
4,300
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
4,300
0
0
0
0
4,300
Annual IC Time Burden (Hours)
358
0
0
0
0
358
Annual IC Cost Burden (Dollars)
0
0
-9,568
9,568
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.