Presumptive Disability Recommendation Form

Homeless with Schizophrenia Presumptive Disability (HSPD) Pilot Demonstration

OMB: 0960-0793

IC ID: 201339

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Information Collection (IC) Details

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Presumptive Disability Recommendation Form
 
No New
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction N/A Schizophrenia Presumptive Disability Recommendation Form Presumptive Disability Form.pdf No   Paper Only

Income Security General Retirement and Disability

 

16 0
   
State, Local, and Tribal Governments
 
   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 208 0 208 0 0 0
Annual IC Time Burden (Hours) 35 0 35 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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