Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claimant Statement About Loan of Food or Shelter New 32770 5462 0 Other-Electronic Screens
Claimant Statement About Loan of Food or Shelter Modified 32770 5462 0 Form SSA-5062
Statement About Food or Shelter Provided to Another New 32770 5462 0 Other-Electronic Screens
Statement About Food or Shelter Provided to Another Modified 32770 5462 0 Form SSA-L5063
Total burden requested under this ICR: 131080 21848 0  
To view an IC, click on IC Title