Category I, CE b) Claimant/Appointment Letter Information (subset of "CE Forms Samples" category)

Disability Case Development Information Collections

Documents and Forms

Document Name Document Type
Category I - CE b) Appointment Ltr - Revised.pdf Other-Sample of Appointment Letter I
Category I - CE b) Appointment Ltr - Revised.pdf Other-Sample of Appointment Letter I
Rescheduled CE Appointment Notice to Claimant - Adult.pdf Other-Rescheduled CE Appointment Not
Rescheduled CE Appointment Notice to Claimant - Adult.pdf Other-Rescheduled CE Appointment Not
Rescheduled CE Appointment Notice to Claimant - Child.pdf Other-Rescheduled CE Appointment Not
Rescheduled CE Appointment Notice to Claimant - Child.pdf Other-Rescheduled CE Appointment Not
Category I - CE b) Appointment Ltr - Current.pdf Category I - CE b) Appointment Ltr - Current IC Document
Category I - CE b) Appointment Ltr - Current.pdf Category I - CE b) Appointment Ltr - Current IC Document

Information Collection (IC) Details

IC Title:	Category I, CE b) Claimant/Appointment Letter Information (subset of "CE Forms Samples" category)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.1614 20 CFR 404.1514 20 CFR 404.1512 20 CFR 404.1517 20 CFR 416.912 20 CFR 404.1513 20 CFR 416.1014 20 CFR 404.1519 20 CFR 404.1613 20 CFR 404.1503a 20 CFR 404.1624 20 CFR 416.903a 20 CFR 416.913 20 CFR 416.914 20 CFR 404.1518(c) 20 CFR 416.918(c) 20 CFR 416.1013 20 CFR 416.1024 20 CFR 416.917 20 CFR 416.919

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Sample of Appointment Letter Included	Category I - CE b) Appointment Ltr - Revised.pdf	No	Paper Only
Other-Rescheduled CE Appointment Notice to Claimant- Adult	Rescheduled CE Appointment Notice to Claimant - Adult.pdf	No	Paper Only
Other-Rescheduled CE Appointment Notice to Claimant- Child	Rescheduled CE Appointment Notice to Claimant - Child.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 880,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	880,000	880,000
Annual IC Time Burden (Hours)	73,333	73,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Category I - CE b) Appointment Ltr - Current	Category I - CE b) Appointment Ltr - Current.pdf	12/04/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.