Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Request to Show Cause for Failure to Appear - New Claims Modified 39500 6583 0 Form HA-L90
Other-Revised Privacy Act Statement
Request to Show Cause for Failure to Appear - Redeterminations New 500 83 0 Form HA-L90-OP1
Total burden requested under this ICR: 40000 6666 0  
To view an IC, click on IC Title