Request for Review of Hearing Decision/Order - Internet Version

Request for Review of Hearing Decision/Order

OMB: 0960-0277

IC ID: 230811

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

View Information Collection (IC)

Request for Review of Hearing Decision/Order - Internet Version
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1467-416.1481 20 CFR 404.967-404.981

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internet Screens i520 - iAppeals Internet Screen Package.pdf www.ssa.gov Yes Yes Fillable Fileable Signable
Other-Internet Screens i520 - Non-Medical Appeals Screen Package.pdf www.ssa.gov Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

70,000 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 70,000 0 0 0 0 70,000
Annual IC Time Burden (Hours) 17,500 0 0 0 0 17,500
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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