20 CFR 404.971 and 416.1471 (Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review)

Administrative Review Process for Adjudicating Initial Disability Claims Parts 404, 405, and 416

OMB: 0960-0710

IC ID: 206582

Information Collection (IC) Details

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20 CFR 404.971 and 416.1471 (Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review)
 
No New
 
Required to Obtain or Retain Benefits
 
20 CFR 404.971 and 416.1471

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HA-85 Request to Withdraw a Hearing Request HA-85 - New Form.pdf No   Paper Only
Form HA-86 Request to Withdraw an Appeals Council Request for Review HA-86 - New Form.pdf No   Paper Only

Income Security General Retirement and Disability

 

1,606 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,606 0 1,606 0 0 0
Annual IC Time Burden (Hours) 268 0 268 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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