Information Collection

0960-0579 SSA-3368 (Paper Form) 404.1560; 416.960

IC 262476 under ICR 202404-0960-003 · OMB 0960-0834.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-3368 0960-0579 SSA-3368 (Paper Form) 404.1560; 416.960	Form and Instruction
SSA-3368 Disability Report - Adult SSA-3368 (Revised for PRW FR).pdf www.ssa.gov	Form and Instruction
SSA-3368 Disability Report - Adult SSA-3368 (Revised for PRW FR).pdf www.ssa.gov	Form and Instruction
SSA-3368 (Current).pdf Current SSA-3368	IC Document
SSA-3368 (Current).pdf Current SSA-3368	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 410.1560 20 CFR 416.960

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-3368	Disability Report - Adult	SSA-3368 (Revised for PRW FR).pdf	www.ssa.gov	Yes	No	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,045

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,045	6,045
Annual IC Time Burden (Hours)	13,198	13,198
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current SSA-3368	SSA-3368 (Current).pdf	10/02/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.