0960-0300 HA-4633 (Paper Form) 404.1560; 416.960

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)

Documents and Forms

Document Name Document Type
Form HA-4633 0960-0300 HA-4633 (Paper Form) 404.1560; 416.960 Form and Instruction
HA-4633 Claimant's Work Background HA-4633 (Revised for PRW FR).pdf www.ssa.gov Form and Instruction
HA-4633 (Current).pdf Current HA-4633 IC Document

Information Collection (IC) Details