Information Collection Request
Report of Adult Functioning-Employer
ICR 202404-0960-008 · OMB 0960-0805 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-3385 Report of Adult Functioning-Employer |
Form | Modified | Available |
| Form SSA-3385 Report of Adult Functioning-Employer |
Form | Modified | Repair queued |
 Justification for the Non-Substantive Changes - 0960-0805 (Removal of Signature Requirement)).docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-26 | Available |
| Justification for the Non-Substantive Changes - 0960-0805 (Removal of Signature Requirement)).docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-26 | Repair queued |
| Justification for a Non-Substantive Change 0960-0805.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-02-22 | Repair queued |
| Justification for a Non-Substantive Change 0960-0805.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-02-22 | Repair queued |
| Supporting Statement - 0805 (Clean Copy).docx |
Supporting Statement A | Uploaded 2023-08-24 | Available |
| Supporting Statement - 0805 (Clean Copy).docx |
Supporting Statement A | Uploaded 2023-08-24 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 221156 |  Report of Adult Functioning-Employer |
Form | Modified | |
| 221156 | Report of Adult Functioning-Employer |
Form | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0805 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202402-0960-007 |
| Date Submitted to OIRA | 2024-04-26 |
| Requested Expiration Date | 1969-12-31 |