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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form HA-4608 Waiver of Your Right to Personal Appearance Before an Administrative Law Judge	Form	Modified	Available
Justification for the Non-Substantive Changes - 0284.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-04-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9188	Waiver of Your Right to Personal Appearance Before an Administrative Law Judge	Form	Modified

ICR Details

OMB Control No: 0960-0284	ICR Reference No: 201604-0960-001
Status: Historical Active	Previous ICR Reference No: 201602-0960-016
Agency/Subagency: SSA	Agency Tracking No:
Title: Waiver of Your Right to Personal Appearance Before an Administrative Law Judge
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/25/2016
	Date Received in OIRA: 04/06/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	09/30/2016	09/30/2016
Responses	12,000	0	12,000
Time Burden (Hours)	400	0	400
Cost Burden (Dollars)	0	0	0

---

Abstract: Claimants have a statutory right to appear in person (or through a representative) and present evidence about their claims at a hearing before an Administrative Law Judge (ALJ). If claimants wishes to waive their right to appear before an ALJ, they must complete a written request. The claimants may use form HA-4608 for this request. The information is used to document the claim to show that an oral hearing is not preferred in the appellate process. The respondents are Social Security and SSI applicants and their representatives. This is a non-substantive Change Request to include a fillable modality for this ICR.

---

Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 902 Name of Law: Social Security Act
   US Code: 42 USC 1383 Name of Law: Social Security Act
   US Code: 42 USC 1395ff Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 30952	05/23/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 47045	08/02/2013
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Waiver of Your Right to Personal Appearance Before an Administrative Law Judge	HA-4608	Waiver of Right to Personal Appearance Before an Administrative Law Judge

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	12,000	12,000	0	0	0	0
Annual Time Burden (Hours)	400	400	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $308,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/06/2016

---