Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certificate of Coverage Request via Internet - Employers (Poland) Modified 210 144 0 Other-Certificate of Coverage Country Agreement
Other- Totalization Agreements Unified Webpage Screen Shot
Other-Revised Privacy Act Statement
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Internet - Individuals (minus Denmark, Iceland, Netherlands, Norway, Slovenia, Sweden, Uruguay, France, Japan, Belgium, and Poland) Modified 995 663 0 Other-Internet Application
Other- Totalization Agreements Unified Webpage Screen Shot
Other-Revised Mailing Address Screen
Other-Revised Privacy Act Statement
Certificate of Coverage Request via Internet - Employers (minus Denmark, Iceland, Netherlands, Norway, Sweden, Germany, Italy, Spain, Uruguay, France, Japan, Belgium, and Poland) Modified 7664 5109 0 Other-Internet Application
Other- Totalization Agreements Unified Webpage Screen Shot
Other-Revised Privacy Act Statement
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Internet - Employers in Belgium New 434 297 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Internet - Employers in Denmark, Iceland, Netherlands, Norway, and Sweden Modified 1347 988 0 Other-Internet Application
Other- Totalization Agreements Unified Webpage Screen Shot
Other-Revised Privacy Act Statement
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Internet - Employers in France and Japan New 4073 2783 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Internet - Employers in Germany, Italy, Spain, Uruguay New 3601 2461 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Internet - Individuals (Poland) Modified 52 36 0 Other-Internet Screens
Other- Totalization Agreements Unified Webpage Screen Shot
Other-Revised Privacy Act Statement
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Internet - Individuals in Belgium New 51 35 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Certificate of Coverage Country Agreement
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Internet - Individuals in Denmark, Iceland, Netherlands, Norway, Slovenia, Sweden & Uruguay Modified 122 83 0 Other-Internet Application
Other- Totalization Agreements Unified Webpage Screen Shot
Other-Revised Privacy Act Statement
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Internet - Individuals in France and Japan New 1023 682 0 Other-Internet Screens
Other-Totalization Agreements
Other-Privacy Act Statement (revised)
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Internet - Individuals in Germany, Italy, Spain, Uruguay New 1013 692 0 Other-Internet Screens
Other-Totalization Agreements
Other-Privacy Act Statement (revised)
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Letter - Employers (Poland) Modified 1 1 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Letter - Employers (minus Denmark, Iceland, Netherlands, Norway, Sweden, Germany, Italy, Spain, Uruguay, France, Japan, Belgium, and Poland) Modified 76 51 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Letter - Employers in Belgium New 1 1 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Letter - Employers in Denmark, Iceland, Netherlands, Norway, and Sweden Modified 4 3 0 Other-Certificate of Coverage Country Agreement
Other-Revised PA Statement
Other-Totalization Agreements
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Letter - Employers in France and Japan New 12 8 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Letter - Employers in Germany, Italy, Spain, Uruguay New 22 15 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Employer Mailing Address Screen
Certificate of Coverage Request via Letter - Individuals (Poland) Modified 2 1 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Letter - Individuals (minus Denmark, Iceland, Netherlands, Norway, Slovenia, Sweden, Uruguay, France, Japan, Belgium, and Poland) Modified 43 29 0 Instruction
Other-Revised Privacy Act Statement
Other-Totalization Agreements
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Letter - Individuals in Belgium New 1 1 0 Other-Certificate of Coverage Country Agreement
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Letter - Individuals in Denmark, Iceland, Netherlands, Norway, & Sweden) Modified 1 1 0 Instruction
Other-Totalization Agreements
Other-Revised Privacy Act Statement
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Letter - Individuals in France and Japan New 10 7 0 Other-Internet Screens
Other-Totalization Agreements
Other-Privacy Act Statement (revised)
Other-Revised Mailing Address Screen
Certificate of Coverage Request via Letter - Individuals in Germany, Italy, Spain, Uruguay New 12 9 0 Other-Internet Screens
Other-Totalization Agreements
Other-Updated Privacy Act Statement
Other-Revised Mailing Address Screen
Total burden requested under this ICR: 20770 14100 0  
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