Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Statement of Funds You Provided to Another, Statement of Funds You Received Modified 40000 6667 0 Form SSA-2855 Statement of Funds You Received
Form SSA-2854 Statement of Funds You Provided To Another
Total burden requested under this ICR: 40000 6667 0  
To view an IC, click on IC Title