Request for Reconsideration--Disability Cessation

Request for Reconsideration--Disability Cessation

OMB: 0960-0349

IC ID: 9232

Information Collection (IC) Details

View Information Collection (IC)

Request for Reconsideration--Disability Cessation
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1409 20 CFR 404.909

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-789 Request for Reconsideration--Disability Cessation SSA-789 (revised).pdf www.ssa.gov Yes Yes Fillable Fileable Signable
Other-Revised PA & PRA Statements Revised PA and PRA Statements.docx www.ssa.gov Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

49,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 49,000 0 0 0 0 49,000
Annual IC Time Burden (Hours) 54,717 0 0 0 0 54,717
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-789 - Current SSA-789 (current).pdf 06/14/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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