Waiver of Your Right to Personal Appearance Before a Judge

OMB 0960-0284

OMB 0960-0284

Applicants for Social Security, Old Age, Survivors and Disability Insurance (OASDI) benefits and Supplemental Security Income (SSI) payments have the statutory right to appear in person, or through a representative, and present evidence about their claims at a hearing before a judge. If claimants wish to waive this right to appear before an judge, they must do so in writing. Form HA-4608 serves as a written waiver for the claimant’s right to a personal appearance before a judge. The judge uses the information we collect on Form HA-4608 to continue processing the case, and makes the completed form a part of the documentary evidence of record by placing it in the official record of the proceedings as an exhibit. Respondents are applicants or claimants for OASDI and SSI, or their representatives, who request to waive their right to appear in person before a judge. This is a non-substantive Change Request to revise the form based on the publication of the Final Rule, Hearings Held by Administrative Appeals Judges of the Appeals Council, (RIN 0960 AI25)

The latest form for Waiver of Your Right to Personal Appearance Before a Judge expires 2022-11-30 and can be found here.

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No material or nonsubstantive change to a currently approved collection 2016-03-02
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Revision of a currently approved collection 2013-08-07
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Revision of a currently approved collection 2010-08-05
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Extension without change of a currently approved collection 2007-07-26
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Extension without change of a currently approved collection 2004-08-20
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Reinstatement without change of a previously approved collection 2001-07-13
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No material or nonsubstantive change to a currently approved collection 1989-09-08
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Revision of a currently approved collection 1987-04-22
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Revision of a currently approved collection 1984-03-29
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New collection (Request for a new OMB Control Number) 1982-03-11

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