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View Information Collection (IC)

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Waiver of Right to Appear--Disability Hearing
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 416.1413-416.1414 20 CFR 416.1416(b)(5) 20 CFR 404.916(b)(5) 20 CFR 404.913-404.914

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-773-U4 No   Paper Only

Income Security General Retirement and Disability

 

200 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200 0 0 0 0 200
Annual IC Time Burden (Hours) 10 0 0 0 0 10
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-773-U4 (current) 04/03/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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