0960-0300 HA-4633 (Paper Form) 410.1560; 404.1565; 416.960; 416.965

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0834 can be found here:

Documents and Forms

Document Name Document Type
Form HA-4633 0960-0300 HA-4633 (Paper Form) 410.1560; 404.1565; 416.960; 416.965 Form and Instruction
HA-4633 Claimant's Work Background HA-4633 (Revised for PRW NPRM).pdf www.ssa.gov Form and Instruction
HA-4633 (Current).pdf Current HA-4633 IC Document

Information Collection (IC) Details