Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review; and Administrative Review Process for Adjudicating Initial Disability Claims

ICR 201606-0960-005

OMB: 0960-0710

Federal Form Document

ICR Details
0960-0710 201606-0960-005
Historical Active 201304-0960-007
SSA
Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review; and Administrative Review Process for Adjudicating Initial Disability Claims
Revision of a currently approved collection   No
Regular
Approved without change 10/25/2016
Retrieve Notice of Action (NOA) 09/19/2016
  Inventory as of this Action Requested Previously Approved
10/31/2019 36 Months From Approved 10/31/2016
75,850 0 75,850
22,533 0 22,533
0 0 0

SSA collects information to establish (1) the claimant's right to administrative review, (2) the severity of the claimant's alleged impairments and (3) the level of performance by the State Disability Determination Services (DDSs). SSA then uses the information collected by these regulations to determine entitlement and/or eligibility to disability insurance benefits (DIB) and/or Supplemental Security Income (SSI) and to enable appeals of these determinations. The respondents are applicants for Title II DIB or SSI.

US Code: 42 USC 902 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  81 FR 43691 07/05/2016
81 FR 62788 09/12/2016
No

  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 75,850 75,850 0 0 0 0
Annual Time Burden (Hours) 22,533 22,533 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$500
No
No
No
No
No
Uncollected
Faye Lipsky 410 965-8783 faye.lipsky@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.
09/19/2016


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