Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-8510 – Medicare Subsidy Quality Review (paper version) New 3500 292 0 Form SSA-8510 Authorization for the Social Security Administration to Obtain Personal Information
SSA-8510 – Title II and Title XVI general evidence (MSSICS version) New 140145 11679 0 Other-Internal Screen
SSA-8510 – Title II and Title XVI general evidence (paper version) New 19800 1650 0 Form SSA-8510 Authorization for the Social Security Administration to Obtain Personal Information
Total burden requested under this ICR: 163445 13621 0  
To view an IC, click on IC Title