Information Collection

Late Notification of Objection to Video Teleconference Showing Good Cause - HA-2

IC 209529 under ICR 201611-0960-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
HA-L83 - Notice of Hearing - Cover Letter.pdf Other-Cover Letter
HA-2 Objection to Video Teleconferencing – Request to Show Ca HA-2 - New Form (Good Cause).pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Late Notification of Objection to Video Teleconference Showing Good Cause - HA-2	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 405.317(a)(2) 20 CFR 416.1436(d)(2) 20 CFR 404.936(c)(2)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Cover Letter			HA-L83 - Notice of Hearing - Cover Letter.pdf		No		Paper Only
Form and Instruction	HA-2	Objection to Video Teleconferencing â Request to Show Cause	HA-2 - New Form (Good Cause).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: 13,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	13,500	13,500
Annual IC Time Burden (Hours)	2,250	2,250
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.