Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Function Report - Child (SSA-3375, SSA-3376, SSA-3377, SSA-3378, SSA-3379) - Paper Forms New 57900 48250 0 Form SSA-3375
Form SSA-3376-BK
Form SSA-3377-BK
Form SSA-3378-BK
Form SSA-3379-BK
Other-Revised Privacy Act Statement
Function Report - Child (SSA-3375, SSA-3376, SSA-3377, SSA-3378, SSA-3379) - Phone Interview Modified 521100 173700 0 Form SSA-3375-BK
Form SSA-3376-BK
Form SSA-3377-BK
Form SSA-3378-BK
Form SSA-3379-BK
Other-Revised Privacy Act Statement for Forms SSA-3375 - SSA-3379
Total burden requested under this ICR: 579000 221950 0  
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