Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Benefits Under a U.S. International Social Security Agreement (MCS) Unchanged 14000 7000 0 Other-Screens
Application for Benefits Under a U.S. International Social Security Agreement (Paper) Unchanged 2000 1000 0 Form SSA-2490-BK Application for Benefits Under a U.S. International Social Security Agreement
Other-database screens
SSA-2960 New 11000 550 0 Form and Instruction SSA-2960 U.S - [Country] Agreement on Social Security Transmittal/Request/Certification
Total burden requested under this ICR: 27000 8550 0  
To view an IC, click on IC Title