Development of Participation in a Vocational Rehabilitation or Similar Program

ICR 202002-0960-004

OMB: 0960-0282

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2020-04-07
Supplementary Document
2020-04-02
ICR Details
0960-0282 202002-0960-004
Received in OIRA 201610-0960-003
SSA
Development of Participation in a Vocational Rehabilitation or Similar Program
Revision of a currently approved collection   No
Regular 04/07/2020
  Requested Previously Approved
36 Months From Approved 01/31/2021
3,000 3,000
750 750
0 0

State Disability Determination Services (DDS) determine if Social Security disability payment recipients whose disability ceased, and who participate in vocational rehabilitation programs may continue to receive disability payments. To do this, DDS need information about the recipients; the types of program participation; and the services they receive under the rehabilitation program. SSA uses Form SSA-4290-F5 to collect this information. The respondents are State employment networks, vocational rehabilitation agencies, or other providers of educational or job training services.

US Code: 42 USC 1383 Name of Law: Social Security Act
   US Code: 42 USC 425 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  85 FR 6671 02/05/2020
85 FR 19563 04/07/2020
No

  Total Request 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 3,000 3,000 0 0 0 0
Annual Time Burden (Hours) 750 750 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$20,223
No
    Yes
    Yes
No
No
No
No
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.
04/07/2020


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