Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-1372-BK (Domestic)--Individuals/Households Modified 99850 13313 0 Form SSA-1372-BK
SSA-1372-BK (Domestic)--State/Local/Tribal Government Modified 99850 4993 0 Form SSA-1372-BK
SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government Modified 150 8 0 Form SSA-1372-BK-FC
SSA-1372-FC (Foreign Claims)--Individuals/Households Modified 150 20 0 Form SSA-1372-BK-FC
Total burden requested under this ICR: 200000 18334 0  
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