Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Child's Insurance Benefits / Death Claim / Modernized Claims System (MCS)/ Signature Proxy Modified 362150 66394 0 Form SSA-4-BK (Modernized Claims System Screens)
Application for Child's Insurance Benefits / Death Claim / SSA-4-BK Modified 19061 3812 0 Form SSA-4-BK
Instruction
Application for Child's Insurance Benefits / Death Claim/MCS Modified 362150 72430 0 Form SSA-4-BK (Modernized Claims System Screens)
Application for Child's Insurance Benefits / Life Claim / MCS Modified 152983 30597 0 Form SSA-4-BK (Modernized Claims System version)
Application for Child's Insurance Benefits / Life Claim / MCS / Signature Proxy Modified 152983 28047 0 Form SSA-4-BK (Modernized Claims System version)
Application for Child's Insurance Benefits / Life Claim / SSA-4-BK Modified 8052 1610 0 Form SSA-4-BK
Instruction
Total burden requested under this ICR: 1057379 202890 0  
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