Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Non-Federal Employee Respondent Modified 3 2 0 Form and Instruction SSA-187
Form and Instruction SSA-188
Other-Revised PA & PRA Statements
Non-Federal Employer Signers Modified 12 1 0 Form and Instruction SSA-187
Form and Instruction SSA-188
Other-Revised PA & PRA Statements
Total burden requested under this ICR: 15 3 0  
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