Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-2854 Modified 20000 3333 0 Form SSA-2854 Statement of Funds YOu Provided to Another
SSA-2855 Modified 20000 3333 0 Form and Instruction SSA-2855 Statement of Funds You Recieve
Other-Revised PA Statement
Total burden requested under this ICR: 40000 6666 0  
To view an IC, click on IC Title