Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
20 CFR 404.949 and 416.1449 Unchanged 2868 2868 0
20 CFR 404.950, 416.1450, 405.332 Unchanged 1040 347 0
20 CFR 404.957, 416.1457, 405.380 Unchanged 21041 3507 0
20 CFR 404.961, 416.1461, 405.330, 405.366 Unchanged 12220 4073 0
20 CFR 404.971 and 416.1471 (Request to Withdraw a Hearing Request; Request to Withdraw an Appeals Council Request for Review) Modified 1606 268 0 Form HA-85 Request to Withdraw a Hearing Request
Form HA-86 Request to Withdraw an Appeals Council Request for Review
Other-Revised PA Statement
Other-Revised PA Statement
20 CFR 404.982 & 416.1482 Unchanged 1687 844 0
20 CFR 404.987 & 404.988, 416.1487 & 4161488, and 405.601 Unchanged 12425 6213 0
20 CFR 405.1(b)(5) and 405.372(b) Unchanged 833 417 0
20 CFR 405.1(c)(2) Unchanged 5310 885 0
20 CFR 405.20 Unchanged 5310 885 0
20 CFR 405.334 Unchanged 20 20 0
20 CFR 405.372(c) Unchanged 5310 885 0
20 CFR 405.381 Unchanged 37 19 0
20 CFR 405.401 Unchanged 5310 885 0
20 CFR 405.505 Unchanged 833 417 0
Total burden requested under this ICR: 75850 22533 0  
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