Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Statement of Claimant or Other Person Modified 305500 76375 0 Form SSA-795 Statement of Claimant or Other Person
Other-Revised PA Statement
Other-SSI Claim System Remarks Screen
Total burden requested under this ICR: 305500 76375 0  
To view an IC, click on IC Title