Information Collection Request

Request to Show Cause for Failure to Appear

ICR 202012-0960-012 · OMB 0960-0794 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form HA-L90-OP1 Request to Show Cause for Failure to Appear Form Modified Available
Form HA-L90-OP1 Request to Show Cause for Failure to Appear - Redeterminations Form Modified Repair queued
Form HA-L90 Request to Show Cause for Failure to Appear Form Modified Available
Form HA-L90 Request to Show Cause for Failure to Appear - New Claims Form Modified Repair queued
Addendum - 0794 (Final).docx Supplementary Document Uploaded 2021-04-28 Available
Addendum - 0794 (Final).docx Supplementary Document Uploaded 2021-04-28 Repair queued
Supporting Statement - 0794 (Final).docx Supporting Statement A Uploaded 2021-04-29 Available
Supporting Statement - 0794 (Final).docx Supporting Statement A Uploaded 2021-04-29 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
229996 Request to Show Cause for Failure to Appear - Redeterminations Form ModifiedRequest to Show Cause for Failure to Appear
229996 Request to Show Cause for Failure to Appear - Redeterminations Form Modified
200929 Request to Show Cause for Failure to Appear - New Claims Form ModifiedRequest to Show Cause for Failure to Appear
200929 Request to Show Cause for Failure to Appear - New Claims Form Modified
ICR Details
0960-0794 202012-0960-012
Active 202011-0960-010
SSA
Request to Show Cause for Failure to Appear
Revision of a currently approved collection   No
Regular
Approved without change 05/18/2023
Retrieve Notice of Action (NOA) 04/29/2021
OMB strongly presumes that this information collection should have an electronic submission modality prior to its next triannual renewal. No later than one year prior to resubmission of this information collection for triannual renewal, the agency will evaluate, and share with OMB the reasoning and results of the evaluation (including any relevant discussion of technical requirements and business process), the capacity to electronically receive and process this form through eSubmit or an alternative electronic submission method. OMB will not grant future three-year approvals until this information collection can be conducted electronically. Consistent with accepting this information collection electronically, the agency will include updated notices to this information collection informing the respondent of how to respond electronically.
  Inventory as of this Action Requested Previously Approved
05/31/2026 36 Months From Approved 05/31/2023
40,000 0 40,000
6,666 0 6,666
0 0 0

When claimants who request a hearing before a judge fail to appear at their scheduled hearing, the judge may reschedule the hearing if the claimants establish good cause for missing the hearing. To establish good cause, following: (1) SSA did not properly notify the claimant of the hearing, or (2) an unexpected event occurred without sufficient time for the claimant to request a postponement. The claimants can use paper Form HA-L90 or HA-L90-OP1 to provide their reason for not appearing at their scheduled hearings; or the claimants’ representatives can use Electronic Records Express (ERE), OMB Control No. 0960-0753, to submit the forms online. SSA uses the HA-L90 for new cases, and the HA-L90-OP1 for redeterminations cases. We need two versions of the paper form, as the judge follows different procedures when determining the good cause on redetermination cases (cases that have a prior decision and evidence on file), than they do for new cases (where we have no evidence on file). If the judge determines the claimants established good cause for failure to appear at the hearing, the judge will schedule a supplemental hearing; if not, the judge will make a claims eligibility determination based on the claimants’ evidence of record. Respondents are claimants, or their representatives, seeking to establish good cause for failure to appear at a scheduled hearing before a judge.

US Code: 42 USC 405 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  86 FR 8246 02/04/2021
86 FR 22510 04/28/2021
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 40,000 40,000 0 0 0 0
Annual Time Burden (Hours) 6,666 6,666 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$46,100
No
    Yes
    Yes
No
No
No
No
Faye Lipsky 410 965-8783 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
04/29/2021