20 CFR 405.1(b)(5) and 405.372(b)

Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review; and Administrative Review Process for Adjudicating Initial Disability Claims

OMB: 0960-0710

IC ID: 197301

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20 CFR 405.1(b)(5) and 405.372(b)
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 405.1(b)(5) 20 CFR 405.372(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Income Security General Retirement and Disability

 

833 0
   
Individuals or Households
 
   0 %

  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 833 0 0 0 0 833
Annual IC Time Burden (Hours) 417 0 0 0 0 417
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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