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HA-55 (Objection to Appearing by Audio or Agency video); HA-56 (Agreement to Appearing by Online Video); HA-L54 (Notice of Ways to Attend a Hearing)
Acknowledgement of Receipt (Notice of Hearing)
OMB: 0960-0671
IC ID: 209524
OMB.report
SSA
OMB 0960-0671
ICR 202410-0960-008
IC 209524
( )
⚠️ Notice: This information collection may be referencing outdated material.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
Documents and Forms
Document Name
Document Type
Form HA-55
HA-55 (Objection to Appearing by Audio or Agency video); HA-56 (Agreement to Appearing by Online Video); HA-L54 (Notice of Ways to Attend a Hearing)
Form
HA-55 Objection to Appearing by Video Teleconferencing
HA-55 -Revised Version.pdf
Form
HA-56 Agreement to Appearing by Online Video
HA-56.pdf
Form
HA-L54.pdf
Other-Cover Letter
HA-55 - Current Version.pdf
Currently Approved HA-55
IC Document
Information Collection (IC) Details
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