Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Individuals or Households Modified 8000 3333 0 Form SSA-7160-F4
Other-Revised PA Statement
Private Sector Modified 7200 3000 0 Form SSA-7160-F4
Other-Revised PA Statement
State, Local and Tribal Government Modified 800 333 0 Form SSA-7160-F4
Other-Revised PA Statement
Total burden requested under this ICR: 16000 6666 0  
To view an IC, click on IC Title