Cessation or Continuance of Disability or Blindness Determination and Transmittal

Forms and Documents

Document Name	Status
Form SSA-833-C3/U3 Cessation or Continuance of Disability or Blindness Determination and Transmital Form	Modified
Supporting Statement--0442F.doc Supporting Statement A	2008-04-24

IC Document Collections

IC ID	Document Title	Status
9311	Cessation or Continuance of Disability or Blindness Determination and Transmital Form	Modified

ICR Details

OMB Control No: 0960-0442	ICR Reference No: 200803-0960-023
Status: Historical Active	Previous ICR Reference No: 200503-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Cessation or Continuance of Disability or Blindness Determination and Transmittal
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/29/2008
	Date Received in OIRA: 04/24/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2011	36 Months From Approved	05/31/2008
Responses	190,507	0	303,564
Time Burden (Hours)	95,254	0	151,782
Cost Burden (Dollars)	0	0	0

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Abstract: The information collected on the SSA-833-C3/U3 is used to make determinations of whether individuals receiving Title II disability benefits continue to be unable to engage in substantial gainful activity and are still eligible to receive benefits. The respondents are State Disability Determination Services employees.

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Authorizing Statute(s): US Code: 42 USC 421 Name of Law: null
   US Code: 42 USC 423 Name of Law: null
   US Code: 42 USC 416 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 7782	02/11/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 21400	04/21/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Cessation or Continuance of Disability or Blindness Determination and Transmital	SSA-833-C3/U3	Cessation or Continuance of Disability or Blindness Determination and Transmittal

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ICR Summary of Burden

	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	190,507	303,564	0	0	-113,057	0
Annual Time Burden (Hours)	95,254	151,782	0	0	-56,528	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The projected annual responses and burden hours have decreased considerably due to budgetary constraints. SSA processed enough continuing disability reviews (CDRs), involving Title II beneficiaries, to stay current with the Congressional mandate for performing CDRs.

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Annual Cost to Federal Government: $3,177,373

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/24/2008

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