Notice of Hearing Cover Letter - HA-L83

Acknowledgement of Receipt (Notice of Hearing)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0671 can be found here:

Documents and Forms

Document Name Document Type
HA-L83 - Current Version (Non COVID-related).pdf Other-Cover Letter and Instruction
HA-L83 - Current Version (Non COVID-related).pdf Other-Cover Letter and Instruction
HA-L83 - Current Telephone Version.pdf Other-Cover Letter and Instruction
HA-L83 - Current Telephone Version.pdf Other-Cover Letter and Instruction
HA-L83 - Current MS Teams Version.pdf Other-Cover Letter and Instruction
HA-L83 - Current MS Teams Version.pdf Other-Cover Letter and Instruction

Information Collection (IC) Details

IC Title:	Notice of Hearing Cover Letter - HA-L83	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.936(e) 20 CFR 416.1435 20 CFR 404.939 20 CFR 416.1439 20 CFR 404.935 20 CFR 405.317(b) 20 CFR 416.1436(e)

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Electronic Capability
Other-Cover Letter and Instruction	HA-L83 - Current Version (Non COVID-related).pdf	No	Paper Only
Other-Cover Letter and Instruction	HA-L83 - Current Telephone Version.pdf	No	Paper Only
Other-Cover Letter and Instruction	HA-L83 - Current MS Teams Version.pdf	No	Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 900,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	900,000	900,000
Annual IC Time Burden (Hours)	450,000	450,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.