Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Statement of Care and Responsibility for Beneficiary, 20 CFR 404.2020, .2025, 408.620, .625, 416.620, .625 Migrated 130000 21667 0 Form SSA-788
Total burden requested under this ICR: 130000 21667 0  
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