Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Benefits Under a U.S. International Social Security Agreement (MCS) Unchanged 14175 7088 0 Other-Screens
Application for Benefits Under a U.S. International Social Security Agreement (Paper) Modified 2025 1013 0 Form SSA-2490-BK Application for Benefits Under a U.S. International Social Security Agreement
Other-database screens
SSA-2960 Removed 0 0 0 Form and Instruction SSA-2960 U.S - [Country] Agreement on Social Security Transmittal/Request/Certification
Total burden requested under this ICR: 16200 8101 0  
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