Information Collection Request

Disability Report - Child

ICR 202402-0960-001 · OMB 0960-0577 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0577 can be found here:

Forms and Documents

Document Name	Status
Form SSA-3820-BK Disability Report - Child (Paper) SSA-3820 Form	Modified
Form SSA-3820-BK Disability Report - Child (Paper) SSA-3820 Form	Modified
Justification for a Non-Substantive Change - 0577.docx Justification for No Material/Nonsubstantive Change	2024-02-12
Justification for a Non-Substantive Change - 0577.docx Justification for No Material/Nonsubstantive Change	2024-02-12
Supporting Statement - 0577 (Revised).docx Supporting Statement A	2022-12-21
Supporting Statement - 0577 (Revised).docx Supporting Statement A	2022-12-21

IC Document Collections

IC ID	Document Title	Status
9538	Disability Report - Child (Paper) SSA-3820 Form	Modified
9538	Disability Report - Child (Paper) SSA-3820 Form	Modified
179519	Disability Report - Child (Internet) Other-Disability Report - Child (Internet)	Modified
179518	Disability Report - Child (EDCS) Other-EDCS	Unchanged

ICR Details

Status	Active
Agency/Subagency	SSA
OMB Control No	0960-0577
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	201906-0960-006
Date Submitted to OIRA	2024-02-12
Requested Expiration Date	1969-12-31