PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Continuation of SSI Benefits for the Temporarily Institutionalized - Certification of Period and Need to Maintain Home - Physician's Certifications
New
26793
6698
0
Other-Intranet Screens
Form and Instruction
SSA-186
Temporary Institutionalization Statement to Maintain Household and Physician Certification
Continuation of SSI Benefits for the Temporarily Institutionalized - Certification of Period and Need to Maintain Home - Statement from other Respondents
Modified
26793
15183
0
Other-SSI Claims System Screens
Form
SSA-186
Temporary Institutionalization Statement to Maintain Household and Physician Certification
Total burden requested under this ICR:
53586
21881
0
To view an IC, click on IC Title
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