Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Individuals or Households Modified 500000 508333 0 Form and Instruction SSA-3380 Function Report -- Adult Third Party
Private Sector Modified 500000 508333 0 Form and Instruction SSA-3380 Function Report--Adult--Third Party
Total burden requested under this ICR: 1000000 1016666 0  
To view an IC, click on IC Title