Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Disability Report--Appeal (EDCS) New 1284019 963014 0 Form SSA-3441-BK (EDCS Screens) Disability Report--Appeal (EDCS Screens)
Disability Report--Appeal (Internet Version) New 158607 317214 0 Form and Instruction i3441 Disability Report--Appeal
Form and Instruction i3441 (iAppeals) Disability Report--Appeal (i3441--Revisions to the Screening Questions for Use with the New iAppeals Program)
Instruction
Disability Report-Appeal (Paper Version) Modified 21282 15962 0 Form SSA-3441-BK Disability Report--Appeal
Total burden requested under this ICR: 1463908 1296190 0  
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