Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-2854 Modified 20000 23000 0 Form SSA-2854 Statement of Funds YOu Provided to Another
Other-Revised PA & PRA Statements
SSA-2855 Modified 20000 23000 0 Form and Instruction SSA-2855 Statement of Funds You Recieve
Other-Revised PA & PRA Statements
Total burden requested under this ICR: 40000 46000 0  
To view an IC, click on IC Title