Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Acknowledgement of Receipt (Notice of Hearing) - HA-504 (with teleconferencing) Modified 898000 449000 0 Form HA-504
Other-Cover Letter
Acknowledgement of Receipt (Notice of Hearing) - HA-504-OP1 (telephone hearing) Modified 2000 1000 0 Form HA-504-OP1
Acknowledgement of Receipt (Notice of Hearing) - HA-504-OP1 (without teleconferencing) Removed 0 0 0 Form HA-504-OP1
Other-Cover Letter
Good Cause for Missing Deadline New 5000 417 0 Other-Cover Letter
Late Notification of Objection to Video Teleconference Showing Good Cause New 13500 2250 0 Other-Cover Letter
Notice of Hearing Cover Letter - HA-L83 New 900000 450000 0 Other-Cover Letter
Objection Stating Issues in Notice are Incorrect New 45000 3750 0 Other-Cover Letter
Objection to Appearing by Video Teleconferencing - HA-55 New 850000 70833 0 Form and Instruction HA-55 and Cover Letter, HA-L2
One-Time Notice for Pending Claims - HA-55 New 500000 41667 0 Other-Truncated Cover Letter
Form HA-55
Verification of New Residence New 45000 3750 0 Other-Cover Letter
Waiver of Written Notice of Hearing - HA-510 New 4000 133 0 Form HA-510
Total burden requested under this ICR: 3262500 1022800 0  
To view an IC, click on IC Title