OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

HA-L83 - Good Cause for Missing Deadline

IC 209526 under ICR 202410-0960-009 · OMB 0960-0671.

Documents and Forms
Document Name
Document Type
Other-Cover Letter and Instruction
IC Document
Information Collection (IC) Details

View Information Collection (IC)

HA-L83 - Good Cause for Missing Deadline
 
No Unchanged
 
Voluntary
 
20 CFR 404.936(f)(2) 20 CFR 416.1436(f)(2)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Cover Letter and Instruction HA-L83 - Revised Version.pdf No   Paper Only

Income Security General Retirement and Disability

 

5,000 0
   
Individuals or Households
 
   0 %

  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 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 417 0 0 0 0 417
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current HA-L83 HA-L83 - Current Version.pdf 08/08/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.