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Listing of Impairments
Listing of Impairments; 404, Subpart P, Appendix 1
OMB: 0960-0642
IC ID: 9674
OMB.report
SSA
OMB 0960-0642
ICR 200708-0960-013
IC 9674
( )
Documents and Forms
Document Name
Document Type
Medical Listings 404-ap10.pdf
www.socialsecurity.gov/OP_Home/cfr20/404/404-ap10.htm
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Listing of Impairments
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
20 CFR 404.1512-404.1515
20 CFR 416.912-416.915
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Medical Listings 404-ap10.pdf
http://www.socialsecurity.gov/OP_Home/cfr20/404/404-ap10.htm
Yes
No
Printable Only
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:
1
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
1
0
0
0
0
1
Annual IC Time Burden (Hours)
1
0
0
0
0
1
Annual IC Cost Burden (Dollars)
0
0
0
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.
