Addendum to Supporting Statement

Addendum 02 01 10.doc

Disability Report-Appeal

Addendum to Supporting Statement

OMB: 0960-0144

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Addendum for Disability Report – Appeal

SSA-3441-BK


OMB No. 0960-0144



Terms of Clearance


This ICR is approved consistent with changes made to the Welcome Screens for the iAppeals process which point out to the respondent the potentially wide differential in burden associated with the electronic form (versus the paper-based form) and provides the respondent with different ways to submit the information. To further minimize burden on the public, SSA should be thinking of ways to reduce the current 2 hour average burden associated with the iAppeals form between now and next submission.


SSA has met the “Terms of Clearance” for the 08/22/07 OMB approval. The use of both electronic versions increased significantly while the use of the paper form decreased. On an ongoing basis, SSA continues to reduce the current 2-hour average burden associated with the i3441.


Minor Revisions to the Collection Instrument


SSA is making the following revisions:


We are revising the PRA statement to reflect our current boilerplate language.  The current language, which dates back to the last reprint of the form, is now outdated.


SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statement on the first page of the form.



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