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
Application for Survivor Death Benefits
Modified
3800
1308
0
Form and Instruction
AA-21 (12-18)
Application for Lump-Sum Death Payments and Annuities Unpaid at Death
Form and Instruction
G-131 (12-18)
Authorization of Payment and Release of All Claims to a Death Benefit or Accrued Annuity Payment
Form
AA-21CERT (All Possible)
Application Summary and Certification
Form and Instruction
AA-21 (Proposed)
Application for Lump-Sum Death Payment and Annuities Unpaid at Death
Form
AA-21CERT All Possible (Proposed)
Application Summary and Certification
Form
G-273A (04-16)
Funeral Director's Statement of Burial Expenses
Form
G-273A (Proposed)
Funeral Director's Statement of Burial Expenses
Form
AA-21CERT Completed
Application Summary and Certification
Form
AA-21CERT Completed (Proposed)
Application Summary and Certification
Funeral Director's Statement of Burial Charges
Modified
4000
667
0
Form and Instruction
G-273a (04-16)
Funeral Director's Statement of Burial Charges
Form
G-273A (Proposed)
Funeral Director's Statement of Burial Expenses
Total burden requested under this ICR:
7800
1975
0
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