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 37265 6211 0 Form HA-L90
Form HA-L90-OPI
Request to Show Cause for Failure to Appear - Redeterminations Modified 500 83 0 Form HA-L90-OP1
Other-Revised PA Statement
Total burden requested under this ICR: 37765 6294 0  
To view an IC, click on IC Title