Information Collection Request
ICR 201607-0960-005 · OMB 0960-0671 · Public filing
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0671 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form HA-504 Acknowledgement of Receipt (Notice of Hearing) |
Form | Unchanged | Available |
| Form HA-55 Objecton to Appearance by Video Teleconferencing |
Form | Unchanged | Available |
| Form HA-2 Objection to Video Teleconferencing – Request to Show Cause |
Form and Instruction | Unchanged | Available |
| Form HA-510 Waiver of Written Notice of Hearing |
Form | Unchanged | Available |
| Form HA-55 and Cover Le Objection to Appearing by Video Teleconferencing |
Form and Instruction | Modified | Available |
| Form HA-504-OP1 Acknowledgement of Receipt (Notice of Hearing) |
Form | Unchanged | Available |
 Justification for the Non-Substantive Changes - 0671.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2016-07-12 | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 9725 |  Acknowledgement of Receipt (Notice of Hearing) - HA-504 (with teleconferencing) |
Form | Unchanged | Acknowledgement of Receipt (Notice of Hearing) |
| 9725 | Acknowledgement of Receipt (Notice of Hearing) - HA-504 (with teleconferencing) |
Other-Cover Letter | Unchanged | |
| 210219 | One-Time Notice for Pending Claims - HA-55 |
Form | Unchanged | Objecton to Appearance by Video Teleconferencing |
| 210219 | One-Time Notice for Pending Claims - HA-55 |
Other-Truncated Cover Letter | Unchanged | |
| 209530 | Objection Stating Issues in Notice are Incorrect |
Other-Cover Letter | Unchanged | |
| 209529 | Late Notification of Objection to Video Teleconference Showing Good Cause - HA-2 |
Form and Instruction | Unchanged | Objection to Video Teleconferencing – Request to Show Cause |
| 209529 | Late Notification of Objection to Video Teleconference Showing Good Cause - HA-2 |
Other-Cover Letter | Unchanged | |
| 209528 | Verification of New Residence |
Other-Cover Letter | Unchanged | |
| 209527 | Waiver of Written Notice of Hearing - HA-510 |
Form | Unchanged | Waiver of Written Notice of Hearing |
| 209526 | Good Cause for Missing Deadline |
Other-Cover Letter | Unchanged | |
| 209525 | Notice of Hearing Cover Letter - HA-L83 |
Other-Cover Letter | Modified | |
| 209524 | Objection to Appearing by Video Teleconferencing - HA-55 |
Form and Instruction | Modified | Objection to Appearing by Video Teleconferencing |
| 209524 | Objection to Appearing by Video Teleconferencing - HA-55 |
Other-Cover Letter | Modified | |
| 202942 | Acknowledgement of Receipt (Notice of Hearing) - HA-504-OP1 (telephone hearing) |
Form | Unchanged | Acknowledgement of Receipt (Notice of Hearing) |
ICR Details
| OMB Control No | 0960-0671 |
|---|