View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Request for Accommodation in Communication Method
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 85.51

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Intranet (internal SSA) screens Yes Yes Fillable Fileable Signable
Form SSA-9000-F6 No   Paper Only
Other-Intranet Screens Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

5,000 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 1,667 0 0 0 0 1,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-9000 Intranet Screen Shots 07/10/2019
Current Paper SSA-9000-F6 07/10/2019
Current iAccommodate Screens 07/10/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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