Information Collection

Subpoena-Disability Hearing

IC 9280 under ICR 200705-0960-011 · OMB 0960-0428.

Documents and Forms

Document Name Document Type
Form SSA-1272-U4 Subpoena-Disability Hearing Form
SSA-1272-U4 Subpoena--Disability Hearing SSA-1272-U4.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Subpoena-Disability Hearing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 404.916(b)(1) 20 CFR 416.1416(b)(1)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-1272-U4	Subpoena--Disability Hearing	SSA-1272-U4.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	18	18
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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