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Medical Consultant's Review of Psychiatric Review Technique Form

IC 9731 under ICR 200907-0960-012 · OMB 0960-0677.

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Form and Instruction
Form and Instruction
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Medical Consultant's Review of Psychiatric Review Technique Form
 
No Modified
 
Mandatory
 
20 CFR 404.1520a 20 CFR 404.1645 20 CFR 404.1640 20 CFR 416.920a 20 CFR 404.1643

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction SSA-3023 Medical Consultant's Review of Psychiatric Review Technique Form S3023 Revisions.pdf No   Paper Only
Form SSA-3020 (AeDib Form) Medical Consultant's Review of Psychiatric Review Technique Form S3023 screens.pdf Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

344 0
   
Private Sector Businesses or other for-profits
 
   95 %

  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 56,760 0 0 -9,976 0 66,736
Annual IC Time Burden (Hours) 11,352 0 0 -1,995 0 13,347
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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