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 Modified 387125 90329 0 Form SSA-4-BK (Modernized Claims System Screens)
Application for Child's Insurance Benefits / Death Claim / SSA-4-BK Modified 40750 10188 0 Form SSA-4-BK
Application for Child's Insurance Benefits / Death Claim/MCS Modified 387125 96781 0 Form SSA-4-BK (Modernized Claims System Screens)
Application for Child's Insurance Benefits / Life Claim / MCS Modified 439375 73229 0 Form SSA-4-BK (Modernized Claims System version)
Application for Child's Insurance Benefits / Life Claim / MCS / Signature Proxy Modified 439375 65906 0 Form SSA-4-BK (Modernized Claims System version)
Application for Child's Insurance Benefits / Life Claim / SSA-4-BK Modified 46250 7708 0 Form SSA-4-BK
Total burden requested under this ICR: 1740000 344141 0  
To view an IC, click on IC Title