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Agenda
Reg Review
ICR
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
To view an IC, click on IC Title