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 Child's Insurance Benefits / Death Claim / Modernized Claims System (MCS) and Preliminary Claims System (PCS)
Modified
193131
35407
0
Form
SSA-4-BK (Modernized Claims System Screens)
Application for Child's Insurance Benefits
Other-PCS Screen Package
Other-Updated Privacy Act Statement for the PCS Screens
Application for Child's Insurance Benefits / Death Claim / SSA-4-BK
Unchanged
6290
1258
0
Form
SSA-4-BK
Application for Child's Insurance Benefits
Instruction
Application for Child's Insurance Benefits / Life Claim / MCS and PCS
Modified
465428
85328
0
Form
SSA-4-BK (Modernized Claims System version)
Application for Child's Insurance Benefits
Other-PCS Screen Package
Other-Updated Privacy Act Statement for the PCS Screens
Application for Child's Insurance Benefits / Life Claim / SSA-4-BK
Unchanged
15207
3041
0
Form
SSA-4-BK
Application for Child's Insurance Benefits
Instruction
Total burden requested under this ICR:
680056
125034
0
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