Request for Reconsideration--Internet version (i561)

Request for Reconsideration

OMB: 0960-0622

IC ID: 180746

Information Collection (IC) Details

View Information Collection (IC)

Request for Reconsideration--Internet version (i561)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 418.1009 20 CFR 418.1325 20 CFR 404.907-404.921 20 CFR 416.1407-416.1421

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Revised iAppeals Terms of Service and Submit Tab iAppeals TOS and Submit Tab - Revised Screens.pdf https://www.ssa.gov/benefits/disability/appeal.html Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

1,161,300 0
   
Individuals or Households
 
   100 %

  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 1,161,300 0 0 0 0 1,161,300
Annual IC Time Burden (Hours) 96,775 0 0 0 0 96,775
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current iAppeals Terms of Service and Submit Screens iAppeals TOS and Submit Screen - Currently Approved version.pdf 07/30/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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