OMB control number

Development of Participation in a Vocational Rehabilitation or Similar Program

OMB 0960-0282 · SSA.

OMB 0960-0282

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.

The latest form for Development of Participation in a Vocational Rehabilitation or Similar Program expires 2027-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form SSA-4290-F5 Development of Participation in a Vocational Rehabilitation or Similar Program (mail) Form
Form SSA-4920-F5 Development of Participation in a Vocational Rehabilitation or Similar Program (telephone) Form
Supporting Statement - 0282 (Final).docx Supporting Statement A
Addendum - 0282 (Final).docx Supplementary Document
Development of Participation in a Vocational Rehabilitation or Similar Program (mail) Form
Development of Participation in a Vocational Rehabilitation or Similar Program (telephone) Form

All Historical Document Collections

202404-0960-010	Revision of a currently approved collection	2024-07-29
202002-0960-004	Revision of a currently approved collection	2020-04-07
201610-0960-003 Approved without change	Revision of a currently approved collection	2017-02-20
201309-0960-007 Approved without change	Revision of a currently approved collection	2013-12-11
201010-0960-009 Approved without change	Revision of a currently approved collection	2011-01-27
200805-0960-016 Approved without change	No material or nonsubstantive change to a currently approved collection	2008-06-25
200801-0960-003 Approved without change	Extension without change of a currently approved collection	2008-02-04
200412-0960-006 Approved without change	Revision of a currently approved collection	2004-12-21
200302-0960-002 Approved without change	Extension without change of a currently approved collection	2003-02-07
200002-0960-006 Approved without change	Extension without change of a currently approved collection	2000-02-10
199909-0960-006 Approved without change	Reinstatement without change of a previously approved collection	1999-09-28
199611-0960-005 Approved without change	No material or nonsubstantive change to a currently approved collection	1996-11-07
199606-0960-003 Approved without change	Revision of a currently approved collection	1996-06-12
199402-0960-005 Approved without change	Extension without change of a currently approved collection	1994-02-22
199102-0960-012 Approved with change	No material or nonsubstantive change to a currently approved collection	1991-02-28
199101-0960-002 Approved without change	Extension without change of a currently approved collection	1991-01-08
198802-0960-006 Approved without change	Revision of a currently approved collection	1988-02-23
198502-0960-002 Approved without change	Revision of a currently approved collection	1985-02-21
198403-0960-007 Approved without change	Revision of a currently approved collection	1984-03-19
198202-0960-012 Approved without change	New collection (Request for a new OMB Control Number)	1982-02-22

OMB Details

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

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-4290-F5

Development of Participation in a Vocational Rehabilitation or Similar Program

Fillable Printable

Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.