OMB
.report
Search
Subpoena-Disability Hearing
Subpoena-Disability Hearing
OMB: 0960-0428
IC ID: 9280
OMB.report
SSA
OMB 0960-0428
ICR 200705-0960-011
IC 9280
( )
Documents and Forms
Document Name
Document Type
Form SSA-1272-U4
Subpoena-Disability Hearing
Form
SSA-1272-U4 Subpoena--Disability Hearing
SSA-1272-U4.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Subpoena-Disability Hearing
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
20 CFR 404.916(b)(1)
20 CFR 416.1416(b)(1)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SSA-1272-U4
Subpoena--Disability Hearing
SSA-1272-U4.pdf
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
36
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
36
0
0
0
0
36
Annual IC Time Burden (Hours)
18
0
0
0
0
18
Annual IC Cost Burden (Dollars)
0
0
0
0
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.
