OMB control number

Development of Participation in a Vocational Rehabilitation or Similar Program

OMB 0960-0282 · SSA.

OMB 0960-0282

State Disability Determination Services (DDS) determine if Social Security disability payment recipients whose disability ceased, and who participate in vocational rehabilitation programs may continue to receive disability payments. To do this, DDS need information about the recipients; the types of program participation; and the services they receive under the rehabilitation program. SSA uses Form SSA-4290-F5 to collect this information. The respondents are State employment networks, vocational rehabilitation agencies, or other providers of educational or job training services.

The latest form for Development of Participation in a Vocational Rehabilitation or Similar Program expires 2027-11-30 and is listed under ICR 202404-0960-010.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202404-0960-010 Revision of a currently approved collection 2024-07-29
202002-0960-004 Revision of a currently approved collection 2020-04-07
201610-0960-003 Revision of a currently approved collection 2017-02-20 Approved without change
201309-0960-007 Revision of a currently approved collection 2013-12-11 Approved without change
201010-0960-009 Revision of a currently approved collection 2011-01-27 Approved without change
200805-0960-016 No material or nonsubstantive change to a currently approved collection 2008-06-25 Approved without change
200801-0960-003 Extension without change of a currently approved collection 2008-02-04 Approved without change
200412-0960-006 Revision of a currently approved collection 2004-12-21 Approved without change
200302-0960-002 Extension without change of a currently approved collection 2003-02-07 Approved without change
200002-0960-006 Extension without change of a currently approved collection 2000-02-10 Approved without change
199909-0960-006 Reinstatement without change of a previously approved collection 1999-09-28 Approved without change
199611-0960-005 No material or nonsubstantive change to a currently approved collection 1996-11-07 Approved without change
199606-0960-003 Revision of a currently approved collection 1996-06-12 Approved without change
199402-0960-005 Extension without change of a currently approved collection 1994-02-22 Approved without change
199102-0960-012 No material or nonsubstantive change to a currently approved collection 1991-02-28 Approved with change
199101-0960-002 Extension without change of a currently approved collection 1991-01-08 Approved without change
198802-0960-006 Revision of a currently approved collection 1988-02-23 Approved without change
198502-0960-002 Revision of a currently approved collection 1985-02-21 Approved without change
198403-0960-007 Revision of a currently approved collection 1984-03-19 Approved without change
198202-0960-012 New collection (Request for a new OMB Control Number) 1982-02-22 Approved without change

OMB Details

Development of Participation in a Vocational Rehabilitation or Similar Program (mail)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Information collection instruments
FormNameElectronic accessType
Form SSA-4290-F5Development of Participation in a Vocational Rehabilitation or Similar ProgramFillable PrintableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.