Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
20 CFR 429.102; 429.103 - Filing a Claim (SF-95, OMB No. 1105-0008) Modified 1 1 0 Form and Instruction SF-95
20 CFR 429.104(a) - Damage to or loss of property Modified 8 8 0
20 CFR 429.104(b) - Personal injury Modified 30 30 0
20 CFR 429.104(c) - Death that a negligent or wrongful act or omission an SSA employee caused Modified 1 1 0
20 CFR 429.106(b) - File a written request with SSA for reconsideration Modified 1 1 0
Total burden requested under this ICR: 41 41 0  
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