Good Cause for Missing Deadline - HA-L83

Acknowledgement of Receipt (Notice of Hearing)

OMB: 0960-0671

IC ID: 209526

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

View Information Collection (IC)

Good Cause for Missing Deadline - HA-L83
 
No Unchanged
 
Voluntary
 
20 CFR 416.1436(e)(1) 20 CFR 404.936(e)(1) 20 CFR 405.317(b)(1)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Cover Letter and Instruction HA-L83 - Current Version (Non COVID-related).pdf No   Paper Only
Other-Cover Letter and Instruction HA-L83 - Current Telephone Version.pdf No   Paper Only
Other-Cover Letter and Instruction HA-L83 - Current MS Teams Version.pdf No   Paper Only

Income Security General Retirement and Disability

 

5,000 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 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 417 0 0 0 0 417
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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