Pilot Program for Participating in Administrative Law Judge Hearings by Using Privately Owned Video Teleconferencing (VTC) Equipment -- Expression of Interest Phase I & II

Pilot Program for Participating in Administrative Law Judge Hearings By Using Privately Owned Video Teleconferencing (VTC) Equipment

Documents and Forms

Document Name Document Type
Screening Script - Initial Expression of Interest VTC 09-25-06 F.doc Initial Expression of Interest / Screening Questions IC Document

Information Collection (IC) Details

IC Title:	Pilot Program for Participating in Administrative Law Judge Hearings by Using Privately Owned Video Teleconferencing (VTC) Equipment -- Expression of Interest Phase I & II	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 404.936(c) 20 CFR 416.1436(c)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 200

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Initial Expression of Interest / Screening Questions	Screening Script - Initial Expression of Interest VTC 09-25-06 F.doc	09/25/2006

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