Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-8510 – Medicare Subsidy Quality Review (paper version) Removed 0 0 0 Form SSA-8510 Authorization for the Social Security Administration to Obtain Personal Information
Other-Privacy Act Statement (revised)
SSA-8510 – Title II and Title XVI general evidence (Personal Information Authorization - Intranet Screens) Modified 192235 16020 0 Other-Intranet Screens
SSA-8510 – Title II and Title XVI general evidence (paper version) Modified 8226 686 0 Form SSA-8510 Authorization for the Social Security Administration to Obtain Personal Information
Other-Revised PA and PRA Statements
Total burden requested under this ICR: 200461 16706 0  
To view an IC, click on IC Title