Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Statutory Benefit Continuation Election Statement -Reconsideration Appeal Level: New 60038 94060 0 Form and Instruction SSA-792
Statutory Benefit Continuation Election Statement- Hearing Appeal Level: Form New 17107 26801 0 Form and Instruction SSA-792
Total burden requested under this ICR: 77145 120861 0  
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