ACKNOWLEDGEMENT OF NOTICE OF HEARING

ICR 198704-0960-008

OMB: 0960-0280

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
115188 Migrated
ICR Details
0960-0280 198704-0960-008
Historical Active 198511-0960-017
SSA
ACKNOWLEDGEMENT OF NOTICE OF HEARING
Revision of a currently approved collection   No
Regular
Approved without change 06/30/1987
Retrieve Notice of Action (NOA) 04/27/1987
  Inventory as of this Action Requested Previously Approved
06/30/1990 06/30/1990 06/30/1987
420,000 0 352,400
14,000 0 11,746
0 0 0

THE INFORMATION COLLECTED BY THIS FORM IS NEEDED TO AFFORT CLAIMANTS THEIR STATUTORY RIGHT TO A HEARING AND DECISION UNDER THE SOCIAL SECURITY AC THIS FORM IS USED TO ACKNOWLEDGE RECEIPT OF A REQUEST AND SCHEDULE A DATE FOR ATTENDANCE AT A HEARING. THE AFFECTED PUBLIC IS COMPRISED OF PERSONS WHO HAVE BEEN DENIED A CLAIM FOR BENEFITS.

None
None


No

1
IC Title Form No. Form Name
ACKNOWLEDGEMENT OF NOTICE OF HEARING HA-504

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 420,000 352,400 0 0 67,600 0
Annual Time Burden (Hours) 14,000 11,746 0 0 2,254 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/27/1987


© 2024 OMB.report | Privacy Policy