OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Changes to the Information Collection Tools Associated with the Final Rule, Intermediate Improvement to the Disability Adjudication Process, Including How We Consider Past Work (RIN 0960-AI83)

ICR 202404-0960-003 · OMB 0960-0834 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form SSA-3368 0960-0579 SSA-3368 (Paper Form) 404.1560; 416.960 Form and Instruction Modified Repair queued
Form SSA-3369 0960-0578 SSA-3369 (Paper Form) 404.1560; 416.960 Form and Instruction Modified Repair queued
Form HA-4633 0960-0300 HA-4633 (Paper Form) 404.1560; 416.960 Form and Instruction Modified Repair queued
Supporting Statement - 0960-0834 (PRW Final Rule).docx Supporting Statement A Uploaded 2024-04-18 Repair queued
Addendum - 0960-0834 (PRW Final Rule).docx Supplementary Document Uploaded 2024-04-18 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
262612 0960-0579 i3368 (Internet Screens), 404.1560; 416.960 Other-Internet Screens Modified
262477 0960-0579 SSA-3368 (EDCS Screens) 404.1560; 416.960 Other-Intranet Screens Modified
262476 0960-0579 SSA-3368 (Paper Form) 404.1560; 416.960 Form and Instruction Modified
262475 0960-0578 SSA-3369 (EDCS Screens) 404.1560; 416.960 Other-Intranet Screens Modified
262364 0960-0578 SSA-3369 (Paper Form) 404.1560; 416.960 Form and Instruction Modified
262363 0960-0300 HA-4633 (ERE) 404.1560; 416.960 Other-Internet Screens Modified
262362 0960-0300 HA-4633 (Paper Form) 404.1560; 416.960 Form and Instruction Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencySSA
OMB Control No0960-0834
Type of Information CollectionNew collection (Request for a new OMB Control Number)
Previous ICR Reference No202309-0960-005
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31