Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claim for Amounts Due in the Case of a Deceased Beneficiary Modified 250000 41667 0 Form and Instruction SSA-1724-F4 Claim for Amounts Due In The Case of a Deceased Beneficiary
Other-Privacy Act Statement 0101 (revised)
Total burden requested under this ICR: 250000 41667 0  
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