SSA uses the information we obtain on
Forms HA-55, HA-504, HA-504-OP1, HA-510, and HA-510-OP1 to manage
the means by which we conduct hearings before a judge, and the
scheduling of hearings with a judge. We use the HA-55, Objection to
Appearing by Video Teleconferencing, and its accompanying cover
letter, HA-L2, to allow claimants to opt-out of an appearance via
video teleconferencing (VTC) for their hearing with a judge. The
HA-L2 explains the good cause stipulation for opting out of VTC if
the claimant misses their window to submit the HA-55, and for
verifying a new residence address if the claimant moved since
submitting their initial hearing request. SSA uses the HA-504 and
HA 504 OP1, Acknowledgement of Receipt (Notice of Hearing), and
accompanying cover letter, HA-L83 to: (1) acknowledge the claimants
will appear for their hearing with a judge; (2) establish the time
and place of the hearing; and (3) remind claimants to gather
evidence in support of their claims. The only difference between
the two versions of the HA-504 is the language used for the
selection check boxes as determined by the type of appearance for
the hearing (in-person, phone teleconference, or VTC). In addition,
the cover letter, HA-L83, explains: (1) the claimants’ need to
notify SSA of their wish to object to the time and place set for
the hearing; (2) the good cause stipulation for missing the
deadline for objecting to the time and place of the hearing; and
(3) how the claimants can submit, in writing, any additional
evidence they would like the judge to consider, or any objections
they have on their claims. The HA-510, and HA-510-OP1, Waiver of
Written Notice of Hearing, allows the claimants to waive their
right to receive the Notice of Hearing as specified in the HA-L83.
We typically use these forms when there is a last minute available
opening on a judge’s schedule, so the claimants can fill in the
available time slot. If the claimants agree to fill the time slot,
we ask them to waive their right to receive the Notice of Hearing.
We use the HA-510-OP1 at the beginning of our process for
representatives and claimants who wish to waive the 75-day
requirement earlier in the process, and the HA-510 later in the
process for those representatives and claimants who want the full
75 days prior to the scheduled hearing. The respondents are
applicants for Social Security disability payments who request a
hearing to appeal an unfavorable entitlement or eligibility
determination. This is a non-substantive Change Request to revise
the form based on the publication of the Final Rule, Hearings Held
by Administrative Appeals Judges of the Appeals Council, (RIN 0960
AI25).
US Code:
42
USC 405 Name of Law: Social Security Act
US Code: 42
USC 1383 Name of Law: Social Security Act
US Code: 42 USC 401, 404, 405, 421, 423,
& 405 Name of Law: Social Security Act
US Code: 42 USC 902, 1381, 1381a, 1383, &1383b Name of Law:
Social Security Act
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.