Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
20 CFR 416.1826 Marital Relationship Questionnaire Modified 3825 319 0 Form SSA-4178 Marital Relationship Questionnaire
Marital Relationship Questionnaire New 1275 106 0 Other-Internal Use Screens
Total burden requested under this ICR: 5100 425 0  
To view an IC, click on IC Title