Information Collection

Lists of Hearing Officers and Mediators

IC 21493 under ICR 199903-1820-001 · OMB 1820-0509.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1820-0509 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Lists of Hearing Officers and Mediators	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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 14,480	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	75,560	73,902	1,658
Annual IC Time Burden (Hours)	15,292	12,242	3,050
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

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