Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Third Party Liability Information Statement Modified 130 11 0 Form SSA-8019-U2 Third Party Liability Information Statement
Third Party Liability Information Statement Modified 66904 5575 0 Other-MSSIC Screens
Total burden requested under this ICR: 67034 5586 0  
To view an IC, click on IC Title