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Federal forms, ICRs, and supporting documents

Information Collection

Request to Show Cause for Failure to Appear - New Claims

IC 200929 under ICR 202604-0960-003 · OMB 0960-0794.

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

View Information Collection (IC)

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

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

Income Security General Retirement and Disability

 

37,265 0
   
Individuals or Households
 
   80 %

  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 37,265 0 0 -2,235 0 39,500
Annual IC Time Burden (Hours) 6,211 0 0 -372 0 6,583
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
HA-L90 - Current HA-L90 - Current.pdf 05/05/2026
HA-L90-OPI HA-L90-OP1 -Current.pdf 05/05/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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