PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Paper Form SSA-44 (mailed or fillable PDF)
Modified
60162
45122
0
Form and Instruction
SSA-44
Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event
Personal Interview (SSA Field Office)
Unchanged
140378
70189
0
Other-Intranet Screens
Other-Revised Privacy Act and PRA Statements
Total burden requested under this ICR:
200540
115311
0
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