Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Child's Insurance Benefits / Death Claim / Modernized Claims System (MCS)/ Signature Proxy New 387125 93555 0
Application for Child's Insurance Benefits / Death Claim / SSA-4-BK Modified 40750 10527 0
Application for Child's Insurance Benefits / Life Claim / MCS New 439375 76891 0
Application for Child's Insurance Benefits / Life Claim / MCS / Signature Proxy New 439375 69568 0
Application for Child's Insurance Benefits / Life Claim / SSA-4-BK New 46250 8094 0
Application for Child's Insurance Benefits / MCS New 387125 100007 0
Total burden requested under this ICR: 1740000 358642 0  
To view an IC, click on IC Title