Information Collection Request

Intermediate Improvement to the Disability Adjudication Process: Including How We Consider Past Work - RIN 0960-AI83

ICR 202309-0960-005 · OMB 0960-0834 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-3368 0960-0579 SSA-3368 (Paper Form) 410.1560 416.960 Form and Instruction New Missing upstream
Form SSA-3369 0960-0578 SSA-3369 (Paper Form) 410.1560; 404.1565; 416.960; 416.965 Form and Instruction New Missing upstream
Form HA-4633 0960-0300 HA-4633 (Paper Form) 410.1560; 404.1565; 416.960; 416.965 Form and Instruction New Repair queued
0960-NEW (PRW NPRM ICR) - Addendum.docx Supplementary Document Uploaded 2023-10-02 Repair queued
0960-NEW (PRW NPRM ICR).docx Supporting Statement A Uploaded 2023-10-02 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
262612 0960-0579 i3368 (Internet Screens), 401.1560, 404.1565, 416.960, and 416.965 Other-Internet Screens New
262477 0960-0579 SSA-3368 (EDCS Screens) 410.1560 416.960 Other-Intranet Screens New
262476 0960-0579 SSA-3368 (Paper Form) 410.1560 416.960 Form and Instruction New
262475 0960-0578 SSA-3369 (EDCS Screens) 410.1560 416.960 Other-Intranet Screens New
262364 0960-0578 SSA-3369 (Paper Form) 410.1560; 404.1565; 416.960; 416.965 Form and Instruction New
262363 0960-0300 HA-4633 (ERE) 410.1560; 404.1565; 416.960; 416.965 Other-Internet Screens New
262362 0960-0300 HA-4633 (Paper Form) 410.1560; 404.1565; 416.960; 416.965 Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
4,040,459 0
4,593,499 0
0 0





table that charts list of burden
  Total Request 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 4,040,459 0 0 4,040,459 0 0
Annual Time Burden (Hours) 4,593,499 0 0 4,593,499 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No