Remote Hearing Options Letter and Form Mailed to Representative

Acknowledgement of Receipt (Notice of Hearing)

OMB: 0960-0671

IC ID: 242395

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Remote Hearing Options Letter and Form Mailed to Representative
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.938 20 CFR 416.1436 20 CFR 416.1438 20 CFR 404.936

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form N/A Remote Hearing Notice and Agreement Form Remote Hearing Options - Revised Version (COVID-19 Language Removed).docx No   Fillable Fileable Signable

Income Security General Retirement and Disability

 

280,000 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 280,000 0 0 0 0 280,000
Annual IC Time Burden (Hours) 46,667 0 0 0 0 46,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current COVID-19 Notice and Form COVID-19 Remote Hearing Options - Current Version.docx 04/04/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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