Clearance is
granted with the understanding that SSA will make an effort to
offer this form over the Internet.
Inventory as of this Action
Requested
Previously Approved
08/31/2002
08/31/2002
08/31/1999
103,932
0
120,540
17,322
0
20,090
0
0
0
The information collected on form
HA-520 is needed to afford claimants their statutory right under
the Social Security Act to request review of a hearing decision.
The data will be used to determine the course of action appropriate
to resolve each issue. The respondents are claimants denied or
dissatisfied with a decision made regarding their claim.
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.