a) 20 CFR 411.140(d)(3); 411.150(b)(3); 411.325(a); 411.465- Individualized Work Plan - SSA-1370

The Ticket to Work and Self-Sufficiency Program

OMB: 0960-0644

IC ID: 9680

Information Collection (IC) Details

View Information Collection (IC)

a) 20 CFR 411.140(d)(3); 411.150(b)(3); 411.325(a); 411.465- Individualized Work Plan - SSA-1370
 
No Modified
 
Mandatory
 
20 CFR 411.140(d)(3) 20 CFR 411.325(a) 20 CFR 411.150(b)(3)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-1370 Ticket to Work Individual Work Plan SSA1370.pdf No   Paper Only

Income Security General Retirement and Disability

 

26,007 0
   
State, Local, and Tribal Governments
 
   0 %

  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 26,007 0 0 4,407 0 21,600
Annual IC Time Burden (Hours) 26,007 0 0 4,407 0 21,600
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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