Verification of New Residence - HA-L2

Acknowledgement of Receipt (Notice of Hearing)

OMB: 0960-0671

IC ID: 209528

Documents and Forms
Document Name
Document Type
Other-Cover Letter and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Verification of New Residence - HA-L2
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1436(d)(1) 20 CFR 404.936(c)(1) 20 CFR 405.317(a)(1)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Cover Letter and Instruction HA-L2 cover letter.pdf No   Paper Only

Income Security General Retirement and Disability

 

45,000 0
   
Individuals or Households
 
   0 %

  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 45,000 0 0 0 0 45,000
Annual IC Time Burden (Hours) 3,750 0 0 0 0 3,750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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