Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claimant Statement About Loan of Food or Shelter Modified 34752 5792 0 Other-Electronic Screens
Claimant Statement About Loan of Food or Shelter Modified 34752 5792 0 Form SSA-5062
Statement About Food or Shelter Provided to Another Modified 34752 5792 0 Other-Electronic Screens
Statement About Food or Shelter Provided to Another Modified 34752 5792 0 Form SSA-L5063
Total burden requested under this ICR: 139008 23168 0  
To view an IC, click on IC Title