PRA IC List
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Paper Form SSA-44 (mailed or fillable PDF)
Modified
76645
57484
0
Form and Instruction
SSA-44
Medicare Income-Related Monthly Adjustment Amount - Life-Changing Event
Other-0784 Privacy Act Statement (revised)
Other-0784 PRA Statement
Personal Interview (SSA Field Office)
Modified
178840
250376
0
Other-Intranet Screens
Other-Revised Privacy Act Statement
Other-0784 Privacy Act Statement
Total burden requested under this ICR:
255485
307860
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
