Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application and Claim for RUIA Benefits Due at Death Modified 200 23 0 Form and Instruction UI-63 (12-05) Application for Benefits Due But Unpaid at Death
Form and Instruction UI-63 (proposed) Application for Benefits Due But Unpaid at Death
Total burden requested under this ICR: 200 23 0  
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