Disability Hearing Officer's Report of Disability Hearing

ICR 200709-0960-010

OMB: 0960-0440

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0960-0440 200709-0960-010
Historical Active 200408-0960-002
SSA
Disability Hearing Officer's Report of Disability Hearing
Extension without change of a currently approved collection   No
Regular
Approved without change 12/19/2007
Retrieve Notice of Action (NOA) 10/28/2007
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved 12/31/2007
35,600 0 100,000
35,600 0 100,000
0 0 0

Form SSA-1205-BK is used by the Disability Hearing Officer conducting the disability interview in preparation for a written reconsidered determination - specifically for evaluating Title II and Title XVI adult disability claims. The form provides the framework for addressing crucial elements in the case and is used in formulating the completed official document of the decision. Respondents are Disability Hearing Officers.

US Code: 42 USC 405 Name of Law: null
  
None

Not associated with rulemaking

  72 FR 43674 08/06/2007
72 FR 59132 10/18/2007
No

1
IC Title Form No. Form Name
Disability Hearing Officer's Report of Disability Hearing SSA-1205-BK Disability Hearing Officer's Report of Disability Hearing

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 35,600 100,000 0 0 -64,400 0
Annual Time Burden (Hours) 35,600 100,000 0 0 -64,400 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The reduction in the Annual Reporting Burden is due to a better estimation of the average number of DHO cases. Over the past three years, SSA has collected data which shows the average number of DHO cases per year to be closer to 35,600 as opposed to the 100,000 previously reported. Previously our estimate was made through an educated guess based on experience, this new data is more concrete, and, therefore, more accurate. Thus, we are amending our estimate to reflect this new data.

$328,944
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Elizabeth Davidson 411-965-0454 liz.davidson@ssa.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/28/2007


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