Information Collection

Courtesy Copy of Remote Hearings Options Letter to Claimant

IC 242396 under ICR 202410-0960-009 · OMB 0960-0671.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Remote Hearing Options (Notice and Form) - Revised Version (COVID-19 Language Removed).docx	Other-Courtesy Copy of Cover Letter
COVID-19 Remote Hearing Options - Current Version.docx Current COVID-19 Notice and Form	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.936 20 CFR 404.938 20 CFR 416.1436 20 CFR 416.1438

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Courtesy Copy of Cover Letter					No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 280,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-280,000	280,000
Annual IC Time Burden (Hours)	-9,333	9,333
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Current COVID-19 Notice and Form		04/04/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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