Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Disability Report--Appeal (EDCS) Modified 843090 632318 0 Form SSA-3441-BK (EDCS Screens) Disability Report--Appeal (EDCS Screens)
Disability Report--Appeal (Internet Version) Modified 417268 208634 0 Other-Internet Screens
Other-Internet Screens
Disability Report-Appeal (Paper Version) Modified 12604 9453 0 Form and Instruction SSA-3441-BK Disability Report--Appeal
Total burden requested under this ICR: 1272962 850405 0  
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