Information Collection

Acknowledgement of Receipt (Notice of Hearing) Cover Letter - HA-L83

IC 207479 under ICR 201306-0960-004 · OMB 0960-0671.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0671 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
HA-L83 - Revised Version.pdf	Instruction
HA-L83 - Notice of Hearing Cover Letter - Current Version.pdf Current HA-L83 (informational only)	IC Document

IC Title:

Acknowledgement of Receipt (Notice of Hearing) Cover Letter - HA-L83

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.936 20 CFR 416.1436

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			HA-L83 - Revised Version.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: 900,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	900,000	900,000
Annual IC Time Burden (Hours)	450,000	450,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current HA-L83 (informational only)	HA-L83 - Notice of Hearing Cover Letter - Current Version.pdf	06/24/2013

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