0960-0579 SSA-3368 (EDCS Screens) 404.1560; 416.960

Changes to the Information Collection Tools Associated with the Final Rule, Intermediate Improvement to the Disability Adjudication Process, Including How We Consider Past Work (RIN 0960-AI83)

Documents and Forms

Document Name Document Type
SSA-3368 EDCS Screenshots (Revised for PRW FR).docx www.ssa.gov Other-Intranet Screens
SSA-3368 EDCS Screenshots (Revised for PRW FR).docx www.ssa.gov Other-Intranet Screens
SSA-3368 EDCS Screenshots (Current).pdf Current SSA-3368 EDCS Screens IC Document
SSA-3368 EDCS Screenshots (Current).pdf Current SSA-3368 EDCS Screens IC Document

Information Collection (IC) Details

IC Title:	0960-0579 SSA-3368 (EDCS Screens) 404.1560; 416.960	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.1560 20 CFR 416.960

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Intranet Screens			SSA-3368 EDCS Screenshots (Revised for PRW FR).docx	www.ssa.gov	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: 1,263,104	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,263,104	1,263,104
Annual IC Time Burden (Hours)	2,757,777	2,757,777
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Current SSA-3368 EDCS Screens	SSA-3368 EDCS Screenshots (Current).pdf	10/02/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.