Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Acknowledgement of Receipt (Notice of Hearing) - HA-504-OP1 (telephone hearing) Removed 0 0 0 Form HA-504-OP1
Other-Cover Letter and Instruction
Claimant Enhanced Outreach - Follow Up Call – No Representative (Unrepresented Claimant/ProSe) Removed 0 0 0 Other-Instructions and Call Flow for use by SSA Employees with Respondents
Claimant Enhanced Outreach - Follow up Call – With Representative Removed 0 0 0 Other-Instructions and Call Flow for use by SSA Employees with Respondents
Claimant Enhanced Outreach - Initial Call No Representative (Unrepresented Claimant/ProSe) Removed 0 0 0 Other-Instructions and Call Flow for use by SSA Employees with Respondents
Claimant Enhanced Outreach - Initial Call With Representative Removed 0 0 0 Other-Instructions and Call Flow for use by SSA Employees with Respondents
Claimant Enhanced Outreach Call Unchanged 75190 37595 0 Other-Call Script
Courtesy Copy of Remote Hearings Options Letter to Claimant Removed 0 0 0 Other-Courtesy Copy of Cover Letter
HA-504 - Acknowledgement of Receipt (Notice of Hearing) Unchanged 700000 350000 0 Form HA-504
Form HA-504-OP1
Form HA-504-OP2
HA-510 - Waiver of Timely Written Notice of Hearing Unchanged 4000 133 0 Form HA-510
HA-55 (Objection to Appearing by Audio or Agency video); HA-56 (Agreement to Appearing by Online Video); HA-L54 (Notice of Ways to Attend a Hearing) Unchanged 500000 83333 0 Form HA-55
Form HA-56
Other-Cover Letter
HA-L2 - Acknowledgement Letter Unchanged 500000 41667 0 Other-Cover Letter and Instruction
HA-L2 - Verification of New Residence Unchanged 35000 2917 0 Other-Cover Letter
HA-L54 - Notification of objection to audio and agency video and agreement to online video more than 30-days after receipt of notice showing good cause Unchanged 13500 2250 0 Other-Cover Letter
HA-L83 - Good Cause for Missing Deadline Unchanged 5000 417 0 Other-Cover Letter and Instruction
HA-L83 - Notice of Hearing Cover Letter Unchanged 700000 350000 0 Other-Cover Letter and Instruction
HA-L83 - Objection Stating Issues in Notice are Incorrect Unchanged 35000 2917 0 Other-Cover Letter and Instruction
Microsoft Teams Video Hearing Call Script - Claimant Outreach Removed 0 0 0 Other-Call Script
Microsoft Teams Video Hearing Call Script - Representative Payee Outreach Removed 0 0 0 Other-Call Script
Remote Hearing Options Letter and Form Mailed to Representative Removed 0 0 0 Form N/A
Remote Hearings Options Follow up Call with Representative – no form Removed 0 0 0
Total burden requested under this ICR: 2567690 871229 0  
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