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Federal forms, ICRs, and supporting documents

Information Collection

HA-L54 - Notification of objection to audio and agency video and agreement to online video more than 30-days after receipt of notice showing good cause

IC 269964 under ICR 202410-0960-009 · OMB 0960-0671.

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

View Information Collection (IC)

HA-L54 - Notification of objection to audio and agency video and agreement to online video more than 30-days after receipt of notice showing good cause
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1436(d)(1) and (e)(1) 20 CFR 404.936(d)(1) and (e)(1)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Cover Letter HA-L54.pdf No   Paper Only

Income Security General Retirement and Disability

 

13,500 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 13,500 0 13,500 0 0 0
Annual IC Time Burden (Hours) 2,250 0 2,250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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