View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0960-0579	ICR Reference No: 201205-0960-003
Status: Historical Active	Previous ICR Reference No: 201104-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Disability Report - Adult
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: 09/27/2012
	Date Received in OIRA: 08/13/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	36 Months From Approved	11/30/2012
Responses	3,303,724	0	2,592,034
Time Burden (Hours)	3,514,337	0	2,757,163
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	3,303,724	2,592,034	711,690
Annual Time Burden (Hours)	3,514,337	2,757,163	757,174
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to: Cutting Redundancy

Short Statement: We discontinued the i3368-PRO upon full implementation of the revised i3368 Internet application as promised in our last full information collection request. The i3368 absorbs the former i3368-PRO users. We successfully completed full implementation of the i3368 as promised in our last request. In addition, we periodically update the dollar amount for monthly gross earnings in questions on the paper form (See Addendum for more information).

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