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Federal forms, ICRs, and supporting documents

Information Collection

Request to Show Cause for Failure to Appear - Redeterminations

IC 229996 under ICR 202012-0960-012 · OMB 0960-0794.

Documents and Forms
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Document Type
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Form
Form
Form
IC Document
IC Document
Information Collection (IC) Details

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Request to Show Cause for Failure to Appear - Redeterminations
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.957 20 CFR 416.1438 20 CFR 404.938

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HA-L90-OP1 Request to Show Cause for Failure to Appear HA-L90-OP1 - Revised.pdf No   Fillable Printable

Income Security General Retirement and Disability

 

500 0
   
Individuals or Households
 
   80 %

  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 500 0 0 0 0 500
Annual IC Time Burden (Hours) 83 0 0 0 0 83
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HA-L90-OP1 - Current HA-L90-OP1 - Current.pdf 04/28/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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