HA-510 - Waiver of Timely Written Notice of Hearing

Acknowledgement of Receipt (Notice of Hearing)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0671 can be found here:

Documents and Forms

Document Name Document Type
Form HA-510 HA-510 - Waiver of Timely Written Notice of Hearing Form
HA-510 Waiver of Timely Written Notice of Hearing HA-510 - Revised Version.pdf Form
HA-510 - Current Version.pdf Currently Approved HA-510 IC Document

Information Collection (IC) Details