Non-Substantive Changes to 0960-0269

Justification for Non-Substantive Change - 0269.docx

Request for Hearing By Administrative Law Judge

Non-Substantive Changes to 0960-0269

OMB: 0960-0269

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Justification for Non-Substantive Changes for Form HA-501-U5 and HA-501-U5-SP

Request for Hearing by Administrative Law Judge

20 CFR 404.929, 404.933, 416.1429, 416.1433, and 422.203

OMB No. 0960-0269



Revisions to the Collection Instrument


SSA is making the following revisions to this collection:


  • Change: We are adding the Regulation citation for 20 CFR 422.203 of the Code of Federal Regulations to this information collection.


Justification: We inadvertently did not include this citation previously, and are correcting for that now.



SSA will implement this Change immediately upon OMB’s approval.


This revision does not affect the public reporting burden.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleAddendum to the Supporting Statement for Form SSA-3462
Author177717
File Modified0000-00-00
File Created2021-01-21

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