Approved for use
through 5/2006 under the following conditions: 1) no later than
9/2003, SSA briefs OMB on system architecture and security issues
related to integration of the ISBA and ISSDR; and 2) for the public
record, SSA submits to OMB the revised help screens that assist
individuals in completing the medical history section of the
ISSDR.
Inventory as of this Action
Requested
Previously Approved
05/31/2006
05/31/2006
05/31/2003
66,000
0
66,000
132,000
0
132,000
0
0
0
The ISSD Report will collect
allegations of disability and gather information about the
disabling condition and sources of medical evidence. Collecting
this information is critical to case development ad adjudication.
The information on the Disability Report, together with other
evidence and information, will be used by State Disability
Determination Services to develop medical evidence, assess the
alleged disability, and make a determination on whether or not the
applicant is disabled under the Act.
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.