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HA-L83 - Good Cause for Missing Deadline
Acknowledgement of Receipt (Notice of Hearing)
OMB: 0960-0671
IC ID: 209526
OMB.report
SSA
OMB 0960-0671
ICR 202404-0960-001
IC 209526
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0671 can be found here:
2024-10-16 - Revision of a currently approved collection
2024-10-16 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
HA-L83 - Revised Version.pdf
Other-Cover Letter and Instruction
HA-L83 - Current Version.pdf
Current HA-L83
IC Document
Information Collection (IC) Details
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