Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Benefits Due but Unpaid at Death Modified 30 4 0 Form and Instruction UI-63 (01-18) Application for Benefits Due But Unpaid at Death
Form and Instruction Form UI-63 (XX-XX) Proposed Application for Benefits Due But Unpaid at Death
Total burden requested under this ICR: 30 4 0  
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