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Federal forms, ICRs, and supporting documents

Information Collection

Notice Regarding Substitution of Party Upon Death of Claimant--Reconsiderationof Disability Cessation

IC 9238 under ICR 202201-0960-004 · OMB 0960-0351.

Documents and Forms
Document Name
Document Type
Form
Other-Revised PA and PRA Statements
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Notice Regarding Substitution of Party Upon Death of Claimant--Reconsiderationof Disability Cessation
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.907-404.921 20 CFR 416.1407-416.1421

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-770-U4 Notice Regarding Substitution of Party Upon Death of Claimant--Reconsideration of Disability Cessation SSA-770-U4 - Revised.pdf No   Fillable Printable
Other-Revised PA and PRA Statements Revised PA & PRA Statements.pdf No   Fillable Printable

Income Security Survivor Compensation

 

384 0
   
Individuals or Households
 
   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 384 0 0 -816 0 1,200
Annual IC Time Burden (Hours) 32 0 0 -68 0 100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-770-U4 - Current SSA-770-U4 - Current.pdf 05/17/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.