Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Function Report - Child (Birth to 1st Birthday, Age 1 to 3rd Birthday, Age 3 to 6th Birthday, Age 6 to 12th Birthday, Age 12 to 18th Birthday), 20 CFR 416.912 and 416.924a(a)(2) Modified 660000 220000 0 Form SSA-3376
Form SSA-3375
Form SSA-3377
Form SSA-3378
Form SSA-3379
Total burden requested under this ICR: 660000 220000 0  
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