Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Statement of Household Expenses and Contributions - Paper Form Modified 21000 15750 0 Form and Instruction SSA-8011-F3
Other-Revised Privacy Act and PRA Statements
Statement of Household Expenses and Contributions - SSI Claims System Modified 398759 299069 0 Other-SSI Claims System Screen Shot
Other-Revised Privacy Act and PRA Statements
Total burden requested under this ICR: 419759 314819 0  
To view an IC, click on IC Title