Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Work Activity Report (Self-Employment) - In Office New 12144 15180 0 Other-SSA-820-BK (revised)
Other-Privacy Act Statement (revised)
Work Activity Report (Self-Employment) SSA-820-APP New 2857 2381 0 Other-SSA-82-APP Screen Package (revised)
Work Activity Report - Self-Employment (Telephone) New 36428 38857 0 Other-SSA-820-BK (revised)
Other-Privacy Act Statement (revised)
Work Activity Report - Self-Employment (paper form) Modified 48571 44523 0 Form SSA-820-BK Work Activity Report (Self-Employment)
Other-Work CDR Sample Notice
Other-Privacy Act Statement (revised)
Total burden requested under this ICR: 100000 100941 0  
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