SUBPOENA - DISABILITY HEARING

ICR 198709-0960-007

OMB: 0960-0428

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
166846 Migrated
ICR Details
0960-0428 198709-0960-007
Historical Active 198601-0960-004
SSA
SUBPOENA - DISABILITY HEARING
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/01/1987
Approved with change 09/01/1987
Retrieve Notice of Action (NOA) 09/01/1987
  Inventory as of this Action Requested Previously Approved
03/31/1989 03/31/1989 03/31/1989
36 0 100
18 0 50
0 0 0

T INFORMATION COLLECTED BY THE USE OF FORM SSA-1272 IS USED TO SUBPOENA THE PRODUCTION OF EVIDENCE OR TESTIMONY NEEDED IN CONNECTION WITH DISABILITY HEARINGS. THE AFFECTED PUBLIC IS COMPRISED OF INDIVIDUALS WHOSE TESTIMONY OR EVIDENCE IS SUBPOENAED.

None
None


No

1
IC Title Form No. Form Name
SUBPOENA - DISABILITY HEARING SSA-1272

  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 36 100 0 -64 0 0
Annual Time Burden (Hours) 18 50 0 -32 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$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.
09/01/1987


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