Information Collection Request

Request for Reconsideration--Disability Cessation

ICR 202102-0960-003 · OMB 0960-0349 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-789 Request for Reconsideration--Disability Cessation Form Modified Repair queued
Form SSA-789 Request for Reconsideration--Disability Cessation Form Modified Repair queued
Addendum - 0349 (Final).docx Supplementary Document Uploaded 2021-06-23 Available
Supporting Statement - 0349 (Final).docx Supporting Statement A Uploaded 2021-06-23 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9232 Request for Reconsideration--Disability Cessation Form ModifiedRequest for Reconsideration--Disability Cessation
9232 Request for Reconsideration--Disability Cessation Form Modified
9232 Request for Reconsideration--Disability Cessation Other-Revised PA & PRA Statements Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2025 36 Months From Approved 05/31/2024
49,000 0 30,000
54,717 0 6,500
0 0 0





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1
table that charts list of burden
IC Title Form No. Form Name
Request for Reconsideration--Disability Cessation SSA-789

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 49,000 30,000 0 0 19,000 0
Annual Time Burden (Hours) 54,717 6,500 0 0 48,217 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No