Medical Consultant's Review of Psychiatric Review Technique Form

Documents and Forms

Document Name Document Type
Form SSA-3023 Medical Consultant's Review of Psychiatric Review Technique Form Form and Instruction
SSA-3023 Medical Consultant's Review of Psychiatric Review Techni S3023 Revisions.pdf Form and Instruction
SSA-3020 (AeDib Fo Medical Consultant's Review of Psychiatric Review Techni S3023 screens.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Medical Consultant's Review of Psychiatric Review Technique Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 404.1520a 20 CFR 404.1645 20 CFR 404.1640 20 CFR 416.920a 20 CFR 404.1643

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-3023	Medical Consultant's Review of Psychiatric Review Technique Form	S3023 Revisions.pdf		No		Paper Only
Form	SSA-3020 (AeDib Form)	Medical Consultant's Review of Psychiatric Review Technique Form	S3023 screens.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 344	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	56,760	-9,976	66,736
Annual IC Time Burden (Hours)	11,352	-1,995	13,347
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.