Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Mother's of Father's Insurance Benefits / SSA-5-BK Modified 2697 674 0 Form and Instruction SSA-5-BK (revised) Application for Mother's or Father's Insurance Benefits
Other-Revised Privacy Act and PRA Statements
Instruction
Other-Revised Privacy Act and PRA Stastements for the SSA-5-INST
Application for Mother's of Father's Insurance Benefits Modernized Claims System (MCS) Unchanged 23335 5834 0 Other-MCS Screens
Total burden requested under this ICR: 26032 6508 0  
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