Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-5072 -- Annual Submission Modified 25 2 0 Form SSA-5072
Other-Revised Privacy Act and PRA Statements
SSA-5072 -- Bi-Annual Submission Modified 150 13 0 Form SSA-5072
Other-Revised Privacy Act and PRA Statement
Total burden requested under this ICR: 175 15 0  
To view an IC, click on IC Title