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Disability Hearing Officer's Decision 20 CFR Sections 404.917 and 416.1417
Disability Hearing Officer's Decision 20 CFR Sections 404.917 and 416.1417
OMB: 0960-0441
IC ID: 9307
OMB.report
SSA
OMB 0960-0441
ICR 200612-0960-013
IC 9307
( )
Documents and Forms
Document Name
Document Type
Form SSA-1207
Disability Hearing Officer's Decision 20 CFR Sections 404.917 and 416.1417
Form
SSA-1207 Disability Hearing Officer's Decision
ssa1207.pdf
Form
SSA-1207-SUP1 Disability Hearing Officer's Decision (Supplement 1)
ssa1207s.pdf
Form
SSA-1207-SUP3 Disability Hearing Officer's Decision (Supplement 3)
ssa1207s sup 3.pdf
Form
PRA statement OHA Forms.doc
PRA Statements
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Disability Hearing Officer's Decision 20 CFR Sections 404.917 and 416.1417
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
20 CFR 416.1417
20 CFR 404.917
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SSA-1207
Disability Hearing Officer's Decision
ssa1207.pdf
No
Paper Only
Form
SSA-1207-SUP1
Disability Hearing Officer's Decision (Supplement 1)
ssa1207s.pdf
No
Paper Only
Form
SSA-1207-SUP3
Disability Hearing Officer's Decision (Supplement 3)
ssa1207s sup 3.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
65,000
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
65,000
0
0
0
0
65,000
Annual IC Time Burden (Hours)
48,750
0
0
0
0
48,750
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
PRA Statements
PRA statement OHA Forms.doc
03/01/2007
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.