Changes to the Information Collection Tools Associated with the Final Rule, Intermediate Improvement to the Disability Adjudication Process, Including How We Consider Past Work (RIN 0960-AI83)

ICR 202404-0960-003

OMB: 0960-0834

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-3368 0960-0579 SSA-3368 (Paper Form) 404.1560; 416.960 Form and Instruction	Modified
Form SSA-3369 0960-0578 SSA-3369 (Paper Form) 404.1560; 416.960 Form and Instruction	Modified
Form HA-4633 0960-0300 HA-4633 (Paper Form) 404.1560; 416.960 Form and Instruction	Modified
Supporting Statement - 0960-0834 (PRW Final Rule).docx Supporting Statement A	2024-04-18
Addendum - 0960-0834 (PRW Final Rule).docx Supplementary Document	2024-04-18

IC Document Collections

IC ID	Document Title	Status
262612	0960-0579 i3368 (Internet Screens), 404.1560; 416.960 Other-Internet Screens	Modified
262477	0960-0579 SSA-3368 (EDCS Screens) 404.1560; 416.960 Other-Intranet Screens	Modified
262476	0960-0579 SSA-3368 (Paper Form) 404.1560; 416.960 Form and Instruction	Modified
262475	0960-0578 SSA-3369 (EDCS Screens) 404.1560; 416.960 Other-Intranet Screens	Modified
262364	0960-0578 SSA-3369 (Paper Form) 404.1560; 416.960 Form and Instruction	Modified
262363	0960-0300 HA-4633 (ERE) 404.1560; 416.960 Other-Internet Screens	Modified
262362	0960-0300 HA-4633 (Paper Form) 404.1560; 416.960 Form and Instruction	Modified