Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-5665-BK (electronic) Unchanged 388581 259054 0
SSA-5665-BK (paper) Unchanged 11419 7613 0
SSA-5666 Modified 397000 198500 0
Total burden requested under this ICR: 797000 465167 0  
To view an IC, click on IC Title