OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Request for Hearing By Administrative Law Judge--Internet Version (i501)

IC 180726 under ICR 202412-0960-004 · OMB 0960-0269.

Documents and Forms
Document Name
Document Type
Other-Current iAppeals Screens
Other-Revised Terms of Service Scree
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Request for Hearing By Administrative Law Judge--Internet Version (i501)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.929 20 CFR 418.1350 20 CFR 404.933 20 CFR 416.1429 20 CFR 405.722 20 CFR 416.1433

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Current iAppeals Screens iAppeals Screens - i501 (revised).pdf https://www.ssa.gov/benefits/disability/appeal.html Yes Yes Fillable Fileable Signable
Other-Revised Terms of Service Screen iAppeals Revised Terms of Service - Clean Copy.docx Yes Yes Printable Only

Income Security General Retirement and Disability

 

281,819 0
   
Individuals or Households
 
   100 %

  Requested 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 281,819 0 0 -371,499 0 653,318
Annual IC Time Burden (Hours) 140,910 0 0 86,467 0 54,443
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
iAppeals Screens - i501 (current) iAppeals Screens - i501 (current).pdf 03/21/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.