OHA PRA Statement

PRA statement OHA Form.doc

Waiver of Your Right to Personal Appearance Before an Administrative Law Judge

OHA PRA Statement

OMB: 0960-0284

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Revised Paperwork Reduction Act Statement – OHA Forms



Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 2 minutes to read the instructions, gather the facts, and answer the questions. You may send comments on our time estimate above to: SSA, 6401 Security Blvd, Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address, not the completed form.


File Typeapplication/msword
File TitlePaperwork Reduction Act Statement - This information collection meets the clearance requirements of 44 U
Author341920
Last Modified ByKathy
File Modified2007-03-27
File Created2007-03-27

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