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OMB Control No: 0960-0578	ICR Reference No: 202508-0960-004
Status: Received in OIRA	Previous ICR Reference No: 202009-0960-011
Agency/Subagency: SSA	Agency Tracking No:
Title: Work History Report
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 03/23/2026

	Requested	Previously Approved
Expiration Date	08/31/2027	08/31/2027
Responses	1,591,949	1,591,949
Time Burden (Hours)	1,921,957	3,024,703
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	1,591,949	1,591,949	0
Annual Time Burden (Hours)	1,921,957	3,024,703	-1,102,746
Annual Cost Burden (Dollars)	0	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: The burden changes reflected here are the same burdens we published in the currently approved ICR for 0960-0834 (Intermediate Improvement to the Disability Adjudication Process, Including How We Consider Past Work). We are moving them from 0960-0834 to this ICR, after which we will discontinue 0960-0834 to avoid double-counting the burden. * Note: The total burden reflected in ROCIS is 1,921,957, while the burden cited in the attached Justification for the Non-Substantive Changes is 1,061,299. This discrepancy is because the ROCIS burden reflects the following components: field office and telephone waiting time + a rough estimate of a 30-minute, one-way, drive burden + learning costs. In contrast, the chart in the Justification reflects actual burden.

Annual Cost to Federal Government: $4,185,990

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

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