View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0739	ICR Reference No: 201601-0960-004
Status: Historical Active	Previous ICR Reference No: 201301-0960-004
Agency/Subagency: SSA	Agency Tracking No:
Title: Certificate of Incapacity
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: 08/17/2016
	Date Received in OIRA: 05/17/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	36 Months From Approved	08/31/2016
Responses	50	0	50
Time Burden (Hours)	38	0	38
Cost Burden (Dollars)	0	0	0

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