Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Third Party Liability Information Statement - Paper SSA-8019 Modified 200 20 0 Form SSA-8019 Third Party Liability Information Statement
Other-Revised PA and PRA Statements
Third Party Liability Information Statement - SSI Claims System Modified 35257 15866 0 Other-Internal Screens
Total burden requested under this ICR: 35457 15886 0  
To view an IC, click on IC Title