Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Function Report - Adult Modified 4005367 4005367 0 Form and Instruction SSA-3373 Function Report - Adult (Version with Proposed Revisions)
Form and Instruction SSA-3373-BK Function Report - Adult (Current Version with no Revisions)
Total burden requested under this ICR: 4005367 4005367 0  
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