Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Claimant Statement About Loan of Food or Shelter Modified 30632 5105 0 Form SSA-5062
Claimant Statement About Loan of Food or Shelter Modified 30632 5105 0 Other-Electronic Screens
Statement About Food or Shelter Provided to Another Modified 30632 5105 0 Other-Electronic Screens
Statement About Food or Shelter Provided to Another Modified 30632 5105 0 Form SSA-L5063
Other-Revised Privacy Act Statement
Total burden requested under this ICR: 122528 20420 0  
To view an IC, click on IC Title