Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certificate of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits (SSA-4111) Modified 30000 1000 0 Form SSA-4111
Other-Revised PA & PRA Statements
Total burden requested under this ICR: 30000 1000 0  
To view an IC, click on IC Title