Application of Circuit Court Law

ICR 201805-0960-001

OMB: 0960-0581

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2018-08-29
IC Document Collections
IC ID
Document
Title
Status
9552 Unchanged
ICR Details
0960-0581 201805-0960-001
Active 201507-0960-006
SSA
Application of Circuit Court Law
Revision of a currently approved collection   No
Regular
Approved without change 10/30/2018
Retrieve Notice of Action (NOA) 09/03/2018
In accordance with 5 CFR 1320, the information collection is approved for three years.
  Inventory as of this Action Requested Previously Approved
10/31/2021 36 Months From Approved 10/31/2018
10,000 0 10,000
2,833 0 2,833
0 0 0

SSA develops criteria for our adjudicators to identify claims that may be subject to readjudication based on particular acquiesence ruling (AR). SSA sends a notice to claimants whose claims we identifiy, or who self-identify (via the Federal Register published AR), as subject to readjudication providing information about the AR and their right to request readjudication. After reviewing the notice, the claimant or the claimant’s authorized representative, is able to decide whether requesting readjudication of their claim is in the claimaint’s best interest. The notice informs claimants they can request readjudication by contacting their local SSA field office, or through a written response on the AR notice. Claimants must decide whether to respond to the notice and provide the requested information to move forward with readjudication. The respondents are claimants for Social Security benefits and Supplemental Security Income payments, who request a readjudication of their claim based on an AR notice.

US Code: 42 USC 405(a) Name of Law: Social Security Act
  
None

Not associated with rulemaking

  83 FR 26736 06/08/2018
83 FR 38441 08/06/2018
No

1
IC Title Form No. Form Name
Application of Circuit Court Law

  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 10,000 10,000 0 0 0 0
Annual Time Burden (Hours) 2,833 2,833 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$67,905
No
    No
    No
No
No
No
Uncollected
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

  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.
09/03/2018


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