Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Function Report - Adult Third Party, 20 CFR 404.1512 and 416.912 Modified 1000000 1000000 0 Form and Instruction SSA-3380-BK Function Report--Adult--Third Party
Form and Instruction SSA-3380-BK Function Report--Adult--Third Party (Revised Version)
Total burden requested under this ICR: 1000000 1000000 0  
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