Information Collection

Disability Report - Adult (EDCS Version)

IC 179419 under ICR 202508-0960-001 · OMB 0960-0579.

Documents and Forms

Document Name Document Type
EDCS 3368 Screenshots.pdf Other-EDCS
SSA-3368 EDCS Screenshots - Previous Version (prior to the implementation of the FR).pdf Previously Approved EDCS Screens (prior to the PRW FR implemenation) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Disability Report - Adult (EDCS Version)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.1512 20 CFR 416.912

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-EDCS			EDCS 3368 Screenshots.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,263,104	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,263,104	0	1,263,104
Annual IC Time Burden (Hours)	3,831,415	1,936,759	1,894,656
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Previously Approved EDCS Screens (prior to the PRW FR implemenation)	SSA-3368 EDCS Screenshots - Previous Version (prior to the implementation of the FR).pdf	08/15/2025

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].