OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Request for Review of Hearing Decision/Order - Internet Version

IC 230811 under ICR 202310-0960-002 · OMB 0960-0277.

Documents and Forms
Document Name
Document Type
Other-Internet Screens
Other-Internet Screens
Other-Internet Screens
Other-Internet Screens
Other-Revised Language for the Addit
Other-Revised Language for the Addit
Information Collection (IC) Details

View Information Collection (IC)

Request for Review of Hearing Decision/Order - Internet Version
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 404.967-404.981 20 CFR 416.1467-416.1481

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Internet Screens i520 - iAppeals Internet Screen Package.pdf www.ssa.gov Yes Yes Fillable Fileable Signable
Other-Internet Screens i520 - Non-Medical Appeals Screen Package.pdf www.ssa.gov Yes Yes Fillable Fileable Signable
Other-Revised Language for the Additional Evidence Paragraph SSA Revisions to the HA-520 Additional Evidence Paragraph.pdf www.ssa.gov Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

113,700 0
   
Individuals or Households
 
   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 113,700 0 0 0 0 113,700
Annual IC Time Burden (Hours) 85,275 0 0 0 0 85,275
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.