Report of Work Activity, Continuing Disability

ICR 200010-0960-003

OMB: 0960-0108

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
37952 Migrated
ICR Details
0960-0108 200010-0960-003
Historical Active 199809-0960-001
SSA
Report of Work Activity, Continuing Disability
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/23/2000
Retrieve Notice of Action (NOA) 10/23/2000
  Inventory as of this Action Requested Previously Approved
11/30/2000 11/30/2000 09/30/2001
140,000 0 140,000
105,000 0 105,000
0 0 0

The information collected on form SSA-3945-BK is used by the Social Security Administration to determine whether an individual's work after entitlement to disability is cause for that entitlement to end. The respondents are individuals who report earnings after their entitlement to disability benefits.

None
None


No

1
IC Title Form No. Form Name
Report of Work Activity, Continuing Disability SSA-3945-K

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 140,000 140,000 0 0 0 0
Annual Time Burden (Hours) 105,000 105,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
10/23/2000


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