PRA IC List
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Agenda
Reg Review
ICR
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)
Unchanged
898000
449000
0
Form
HA-504
Acknowledgement of Receipt (Notice of Hearing)
Other-Cover Letter
Acknowledgement of Receipt (Notice of Hearing) - HA-504-OP1 (telephone hearing)
Unchanged
2000
1000
0
Form
HA-504-OP1
Acknowledgement of Receipt (Notice of Hearing)
Good Cause for Missing Deadline
Unchanged
5000
417
0
Other-Cover Letter
Late Notification of Objection to Video Teleconference Showing Good Cause - HA-2
Unchanged
13500
2250
0
Other-Cover Letter
Form and Instruction
HA-2
Objection to Video Teleconferencing – Request to Show Cause
Notice of Hearing Cover Letter - HA-L83
Unchanged
900000
450000
0
Other-Cover Letter
Objection Stating Issues in Notice are Incorrect
Unchanged
45000
3750
0
Other-Cover Letter
Objection to Appearing by Video Teleconferencing - HA-55
Unchanged
850000
70833
0
Form and Instruction
HA-55 and Cover Letter, HA-L2
Objection to Appearing by Video Teleconferencing
Other-Cover Letter
One-Time Notice for Pending Claims - HA-55
Unchanged
500000
41667
0
Other-Truncated Cover Letter
Form
HA-55
Objecton to Appearance by Video Teleconferencing
Verification of New Residence
Unchanged
45000
3750
0
Other-Cover Letter
Waiver of Written Notice of Hearing - HA-510
Modified
4000
133
0
Form
HA-510
Waiver of Written Notice of Hearing
Form
HA-510
Option to Accept an Earlier Hearing Waiver of Timely Written Notice of Hearing
Total burden requested under this ICR:
3262500
1022800
0
To view an IC, click on IC Title
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