Information Collection

Category I, CE b) Claimant/Appointment Letter Information (subset of "CE Forms Samples" category)

IC 179018 under ICR 202604-0960-004 · OMB 0960-0555.

Documents and Forms

Document Name Document Type
Category I - CE b) Appointment Ltr - Revised.pdf Other-CE Appointment Notice to Claim
Category I - CE b) and c) Rescheduled CE Notice (CLMT) (adult).pdf Other-Rescheduled CE Appointment Not
Category I - CE b) and c) Rescheduled CE Notice (CLMT) - Child.pdf Other-Rescheduled CE Appointment Not
Category I - CE b) and c) CE Notice (CLMT) - Child.pdf Other-CE Appointment Notice to Claim

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Category I, CE b) Claimant/Appointment Letter Information (subset of "CE Forms Samples" category)	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 416.918(c) 20 CFR 404.1518(c) 20 CFR 416.1013 20 CFR 416.1024 20 CFR 416.917 20 CFR 416.919 20 CFR 404.1614 20 CFR 404.1514 20 CFR 404.1512 20 CFR 404.1517 20 CFR 416.912 20 CFR 404.1513 20 CFR 416.1014 20 CFR 404.1519 20 CFR 404.1613 20 CFR 404.1503a 20 CFR 404.1624 20 CFR 416.903a 20 CFR 416.913 20 CFR 416.914

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-CE Appointment Notice to Claimant (Adult)	Category I - CE b) Appointment Ltr - Revised.pdf	No	Paper Only
Other-Rescheduled CE Appointment Notice to Claimant- Adult	Category I - CE b) and c) Rescheduled CE Notice (CLMT) (adult).pdf	No	Paper Only
Other-Rescheduled CE Appointment Notice to Claimant- Child	Category I - CE b) and c) Rescheduled CE Notice (CLMT) - Child.pdf	No	Paper Only
Other-CE Appointment Notice to Claimant (child)	Category I - CE b) and c) CE Notice (CLMT) - Child.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,065,444	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,065,444	2,185,444	880,000
Annual IC Time Burden (Hours)	255,454	182,121	73,333
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].