Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.	Form Name
Data Exchange Request Form - State and Local Governments	Unchanged	114	57	0	Form	SSA-157	Data Exchange Request Form
Data Exchange Request Form - Private Sector Respondents	Unchanged	32	16	0	Form	SSA-157	Data Exchange Request Form
eCBSV Applicants – SSA-157 with Certification Statement	New	200	107	0	Form	SSA-157	Data Exchange Request Form
					Instruction
					Other-eCBSV Initial Rollout MOU
Total burden requested under this ICR:		346	180	0
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