Information Collection

Reinstatement Of Disability Annuity Previously Terminated Because Of Restoration To Earning Capacity

IC 156926 under ICR 198403-3206-008 · OMB 3206-0138.

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Information Collection (IC) Details

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IC Title:	REINSTATEMENT OF DISABILITY ANNUITY PREVIOUSLY TERMINATED BECAUSE OF RESTORATION TO EARNING CAPACITY	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	BRI 49-219				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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