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View ICR - OIRA Conclusion

OMB Control No: 0960-0247	ICR Reference No: 198207-0960-008
Status: Historical Active	Previous ICR Reference No: 198107-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: WORKERS' COMPENSATION/PUBLIC DISABILITY BENEFIT QUESTIONNAIRE
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/27/1982
	Date Received in OIRA: 07/30/1982
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1985	03/31/1985	10/31/1982
Responses	100,000	0	1,000,000
Time Burden (Hours)	25,000	0	8,333
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	100,000	1,000,000	-900,000
Annual Time Burden (Hours)	25,000	8,333	16,667
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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