Request for Hearing By Administrative Law Judge--Internet Version (i501)

Request for Hearing By Administrative Law Judge

OMB: 0960-0269

IC ID: 180726

Documents and Forms
Document Name
Document Type
Other-Current iAppeals Screens
Information Collection (IC) Details

View Information Collection (IC)

Request for Hearing By Administrative Law Judge--Internet Version (i501)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.929 20 CFR 418.1350 20 CFR 404.933 20 CFR 416.1429 20 CFR 405.722 20 CFR 416.1433

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Current iAppeals Screens iAppeals Screens - i501.pdf https://www.ssa.gov/benefits/disability/appeal.html Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

653,318 0
   
Individuals or Households
 
   100 %

  Requested 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 653,318 0 0 -5,198 0 658,516
Annual IC Time Burden (Hours) 54,443 0 0 -433 0 54,876
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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