Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Mother's of Father's Insurance Benefits / MCS Modified 26045 6511 0 Other-MCS Screens
Application for Mother's of Father's Insurance Benefits / SSA-5-BK Modified 1611 403 0 Form and Instruction SSA-5-BK (revised) Application for Mother's or Father's Insurance Benefits
Other-Revised Paperwork Reduction Act
Other-Revised Privacy Act Statement
Application for Mother's of Father's Insurance Benefits Modernized Claims System (MCS) / Signature Proxy Unchanged 26044 6077 0 Other-MCS Screens
Total burden requested under this ICR: 53700 12991 0  
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