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Federal forms, ICRs, and supporting documents

Information Collection

Disability Determination Ready Claim (DDRC) Certification Statement (for DDRC Pilot)

IC 272179 under ICR 202502-0960-015 · OMB 0960-0618.

Documents and Forms
Document Name
Document Type
Other-Certification Statement
Other-Certification Statement
Information Collection (IC) Details

View Information Collection (IC)

Disability Determination Ready Claim (DDRC) Certification Statement (for DDRC Pilot)
 
No Modified
 
Voluntary
 
20 CFR 404.310-404.311 20 CFR 404.315-404.322 20 CFR 404.330-404.333 20 CFR 404.601-404.603 20 CFR 404.1501-404.1512

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Certification Statement Mock-Up Certification Statement Form - FINAL.pdf www.ssa.gov No   Printable Only

Income Security General Retirement and Disability

 

2,008,976 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 2,008,976 0 0 0 0 2,008,976
Annual IC Time Burden (Hours) 33,483 0 0 0 0 33,483
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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