Development of Participation in a Vocational Rehabilitation or Similar Program (mail)

Development of Participation in a Vocational Rehabilitation or Similar Program

OMB: 0960-0282

IC ID: 9186

Documents and Forms
Document Name
Document Type
Form
Other-Revised Privacy Act Statement
Other-Revised Privacy Act Statement
Form
Form
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Development of Participation in a Vocational Rehabilitation or Similar Program (mail)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.1596 20 CFR 416.1338(c)-(d) 20 CFR 404.316(c) 20 CFR 404.337(c) 20 CFR 404.352(d) 20 CFR 404.1597(a) 20 CFR 404.1586(g) 20 CFR 416.1320(d) 20 CFR 416.1331(a)-(b) 20 CFR 416.1338 20 CFR 404.327 20 CFR 404.328

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-4290-F5 Development of Participation in a Vocational Rehabilitation or Similar Program SSA-4290-F5 (revised).pdf Yes No Fillable Printable
Other-Revised Privacy Act Statement 0577 0960-0282 Privacy Act Statement (revised).docx No   Paper Only

Income Security General Retirement and Disability

 

2,400 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 2,400 0 0 -600 0 3,000
Annual IC Time Burden (Hours) 2,200 0 0 1,450 0 750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-4290-F5 Current Version SSA-4290-F5 (current).pdf 07/17/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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