Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Important Information About Your Appeal, Waiver Rights and Repayment Options (Phone Call Leading to SSA Intranet Entry) Unchanged 200000 50000 0 Other-Intranet Screens (phone call)
Important Information About Your Appeal, Waiver Rights, and Repayment Options (Paper Form) Modified 600000 150000 0 Form and Instruction SSA-3105 Important Information About Your Appeal, Waiver Rights, and Repayment Options
Total burden requested under this ICR: 800000 200000 0  
To view an IC, click on IC Title