Information Collection

Disability Report--Appeal (EDCS) - Representative Payees

IC 243684 under ICR 202410-0960-002 · OMB 0960-0144.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
v2 SSA-3441 EDCS Screenshots.pdf	Other-Intranet Screens
v2 SSA-3441 EDCS Screenshots.pdf	Other-Intranet Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Disability Report--Appeal (EDCS) - Representative Payees

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 422.140 20 CFR 416.1416(c) 20 CFR 416.1513 20 CFR 416.1540(b)(4) 20 CFR 404.912 20 CFR 404.916(c) 20 CFR 404.1512 20 CFR 404.1713 20 CFR 404.1740(b)(4)

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
Other-Intranet Screens					Yes	Yes	Fillable Fileable Signable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 44,192

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	44,192	-27,460	71,652
Annual IC Time Burden (Hours)	33,144	-20,595	53,739
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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