Disability Report - Adult (EDCS Version)

Disability Report - Adult

OMB: 0960-0579

IC ID: 179419

Documents and Forms
Document Name
Document Type
Other-EDCS
Information Collection (IC) Details

View Information Collection (IC)

Disability Report - Adult (EDCS Version)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1512 20 CFR 416.912

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-EDCS EDCS 3368 Screenshots.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

1,263,104 0
   
Individuals or Households
 
   100 %

  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 1,263,104 0 0 -1,221,127 0 2,484,231
Annual IC Time Burden (Hours) 1,894,656 0 0 -1,831,691 0 3,726,347
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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