PRA IC List
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Application for Child's Insurance Benefits / Death Claim / Modernized Claims System (MCS)/ Signature Proxy
Modified
114000
20900
0
Form
SSA-4-BK (Modernized Claims System Screens)
Application for Child's Insurance Benefits
Application for Child's Insurance Benefits / Death Claim / SSA-4-BK
Modified
6000
1200
0
Form
SSA-4-BK
Application for Child's Insurance Benefits
Instruction
Application for Child's Insurance Benefits / Death Claim/MCS
Modified
114000
22800
0
Form
SSA-4-BK (Modernized Claims System Screens)
Application for Child's Insurance Benefits
Application for Child's Insurance Benefits / Life Claim / MCS
Modified
351500
70300
0
Form
SSA-4-BK (Modernized Claims System version)
Application for Child's Insurance Benefits
Application for Child's Insurance Benefits / Life Claim / MCS / Signature Proxy
Modified
351500
64442
0
Form
SSA-4-BK (Modernized Claims System version)
Application for Child's Insurance Benefits
Application for Child's Insurance Benefits / Life Claim / SSA-4-BK
Modified
18500
3700
0
Form
SSA-4-BK
Application for Child's Insurance Benefits
Instruction
Total burden requested under this ICR:
955500
183342
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
