Courtesy Copy of Remote Hearings Options Letter to Claimant

Acknowledgement of Receipt (Notice of Hearing)

Documents and Forms

Document Name Document Type
Remote Hearing Options (Notice and Form) - Revised Version (COVID-19 Language Removed).docx Other-Courtesy Copy of Cover Letter
Remote Hearing Options (Notice and Form) - Revised Version (COVID-19 Language Removed).docx Other-Courtesy Copy of Cover Letter
COVID-19 Remote Hearing Options - Current Version.docx Current COVID-19 Notice and Form IC Document
COVID-19 Remote Hearing Options - Current Version.docx Current COVID-19 Notice and Form IC Document

Information Collection (IC) Details

IC Title:	Courtesy Copy of Remote Hearings Options Letter to Claimant	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.936 20 CFR 404.938 20 CFR 416.1436 20 CFR 416.1438

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Courtesy Copy of Cover Letter			Remote Hearing Options (Notice and Form) - Revised Version (COVID-19 Language Removed).docx		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 280,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	280,000	280,000
Annual IC Time Burden (Hours)	9,333	9,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.