Information Collection

We Need Important Information About Your Eligibility for Social Security Disability Benefits

IC 33720 under ICR 202010-3206-010 · OMB 3206-0216.

Documents and Forms

Documents and forms in this information collection
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

IC Title:

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:

table that charts list of 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

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	4,300	0	0	4,300
Annual IC Time Burden (Hours)	358	0	0	358
Annual IC Cost Burden (Dollars)	0	-9,568	9,568	0

Documents for IC

table that charts IC Documents
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.