Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Individuals/Households: Paper SSA-11-BK Modified 68400 13680 0 Form SSA-11-BK
Other-Privacy Act Statement (revised) 0014
Individuals/Households: Representative Payee System (RPS) Modified 1710000 342000 0 Other-Internal Use Screens
Private Sector: Paper SSA-11-BK Modified 6840 1368 0 Form SSA-11-BK
Other-Privacy Act Statement (revised) 0014
Private Sector: RPS Modified 171000 34200 0 Other-Internal Screens
State/Local/Tribal Government: Paper SSA-11-BK Modified 340 68 0 Form SSA-11-BK
Other-Revised Privacy Act Statement 0014
State/Local/Tribal Government: RPS Modified 19000 3800 0 Other-Internal Use Screens
Total burden requested under this ICR: 1975580 395116 0  
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