Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-L2765, Request for Self-Employment Information Modified 12321 2054 0 Form SSA-L2765 Request for Self-Employment Information
SSA-L3365, Request for Employee Information Modified 179749 29958 0 Form SSA-L3365 Request for Employee Information
SSA-L4002, Request for Employer Information Modified 121679 20280 0 Form SSA-L4002 Request for Employer Information
Total burden requested under this ICR: 313749 52292 0  
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