Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Widow's or Widower's Insurance Benefits - MCS/Signature Proxy Modified 449000 104767 0 Other-Internal Screens
Application for Widow's or Widower's Insurance Benefits - Paper Version Modified 5000 1250 0 Form and Instruction SSA-10-BK
Instruction
Application for Widow's or Widower's Insurance Benefits--Modernized Claims System (MCS) Removed 0 0 0 Other-Modernized Claims System Version of the SSA-10-BK
Total burden requested under this ICR: 454000 106017 0  
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