Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
20 CFR 411.140(d)(3); 411.150(b)(3); 411.325(a) Modified 3983 15932 0
20 CFR 411.145 & 411.325 New 2532 633 0
20 CFR 411.170(b); 411.385(a); 411.390 New 35584 2965 0
20 CFR 411.192(b)&(c) New 1000 500 0
20 CFR 411.200(b)--SSA-1375 (Beneficiaries) New 13500 3375 0 Form SSA-1375
Instruction
Instruction
20 CFR 411.200(b)--SSA-1375 Internet Version (State ENs) New 13500 1800 0 Form SSA-1375
Instruction
Instruction
Form N/A
20 CFR 411.210(b) New 3145 1573 0
20 CFR 411.325(d), 411.415 New 48 384 0
20 CFR 411.325(f) New 2470 4940 0
20 CFR 411.365, 411.505, 411.515 New 118 59 0
20 CFR 411.435, 411.615, 411.635 New 2 4 0
20 CFR 411.535(a)(1)(iii) New 8505 709 0
20 CFR 411.575 New 12420 12420 0
411.140(d)(3); 411.385(a); 411.390 -- SSA-1365 New 25174 1259 0 Form SSA-1365
Total burden requested under this ICR: 121981 46553 0  
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