Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Non-Federal Employee Respondent Modified 10 5 0 Form and Instruction SSA-187
Form and Instruction SSA-188
Other-Revised Privacy Act Statement
Other-Revised Privacy Act Statement
Non-Federal Employer Signers Modified 20 2 0 Form and Instruction SSA-187
Form and Instruction SSA-188
Other-Revised Privacy Act Statement
Other-Revised Privacy Act Statement
Total burden requested under this ICR: 30 7 0  
To view an IC, click on IC Title