OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Waiver of Your Right to Personal Appearance Before a Judge

IC 9188 under ICR 202206-0960-010 · OMB 0960-0284.

Documents and Forms
Document Name
Document Type
Form
Form
Form and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Waiver of Your Right to Personal Appearance Before a Judge
 
No Modified
 
Voluntary
 
20 CFR 404.948 (b)(1)(i) 20 CFR 416.1448(b)(1)(i)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HA-4608 Waiver of Right to Personal Appearance Before a Judge HA-4608 - Revised Version.pdf Yes No Fillable Printable
Form and Instruction HA-4608 Waiver of Your Right to Personal Appearance Before a Judge HA-4608 - Submittable PDF Version.pdf www.ssa.gov Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

12,000 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 12,000 0 0 0 0 12,000
Annual IC Time Burden (Hours) 1,000 0 0 600 0 400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current HA-4608 HA-4608 - Current Version.pdf 11/01/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.