Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-2930 Modified 1500 750 0 Form SSA-2930(revised) RSI/DI Quality Review Case Analysis - Sampled Number Holder
SSA-2931 Modified 750 375 0 Form SSA-2931(revised) RSI/DI Quality Review Case Analysis - Auxiliaries/Survivors
SSA-2932 Modified 100 33 0 Form SSA-2932 (revised) RSI/DI Quality Review Case Analysis ? Parent
SSA-2935 Modified 2350 196 0 Form and Instruction SSA-2935 Authorization to the Social Security Administration to Obtain Personal Informaition
SSA-4659 Modified 325 54 0 Form SSA-4659 Stewardship Annual Earnings Test Workbook
SSA-820 and SSA-821 New 400 100 0 Form SSA-820-F4 Work Activity Report (Self-Employed Person)
Form SSA-821-BK Work Activity Report-Employee
SSA-85 Modified 3850 321 0 Form SSA-85 Information Needed to Review Your Social Security Claim
SSA-8510 New 800 67 0 Form SSA-8510 Authorization For The Social Security Administration To Obtain Personal Information
SSA-8552 Modified 2350 196 0 Form SSA-8552 Interview Confirmation
SSA-L8550-U3 Modified 385 32 0 Other-Notice
SSA-L8551-U3 Modified 95 8 0 Other-Notice
SSA-L8552-U3 Modified 35 3 0 Other-Notice
SSA-L8553-U3 Modified 4490 374 0 Other-Notice
SSA-L8554-U3 Modified 670 56 0 Other-Notice
iClaim Stewardship Questions Unchanged 324 54 0 Other-follow-up stewardship questions
Total burden requested under this ICR: 18424 2619 0  
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