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: 201302-0960-004
Status: Historical Active	Previous ICR Reference No: 201205-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Disability Report - Adult
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/12/2013
	Date Received in OIRA: 02/28/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2015	09/30/2015	09/30/2015
Responses	3,303,724	0	3,303,724
Time Burden (Hours)	3,514,337	0	3,514,337
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	3,303,724	3,303,724
Annual Time Burden (Hours)	3,514,337	3,514,337
Annual Cost Burden (Dollars)	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

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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