This information
collection is approved through 1-97 under the following condition:
SSA will reevaluate the burden estimate associated with this form
and shall include an evaluation of the burden that has been imposed
by this collection in the past. The Agency's previous estimate of
15 minute appears very low.
Inventory as of this Action
Requested
Previously Approved
02/28/1997
02/28/1997
01/31/1996
854,375
0
595,234
213,594
0
34,167
0
0
0
The information collected by SSA-2506
is used by SSA to evaluate the severity of mental impairments in
adults who have filed a claim for disability benefits. The
respondents will be State Disability Determination Agencies who are
responsible for reviewing the beneficiaries' claims and report
their findings to SSA.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.