PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Application for Mother's of Father's Insurance Benefits / SSA-5-BK
Modified
28
28
0
Form and Instruction
SSA-5-BK (revised)
Application for Mother's or Father's Insurance Benefits
Instruction
Application for Mother's of Father's Insurance Benefits Modernized Claims System (MCS) and Preliminary Claims System (PCS)
Unchanged
23123
32372
0
Other-MCS Screens
Total burden requested under this ICR:
23151
32400
0
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