Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Child's Insurance Benefits / Death Claim / Modernized Claims System (MCS) Modified 235166 344910 0 Form SSA-4-BK (Modernized Claims System Screens)
Application for Child's Insurance Benefits / Death Claim / SSA-4-BK Modified 1702 596 0 Form SSA-4-BK
Other-SSA-4-BK Privacy Act Statement Revised
Application for Child's Insurance Benefits / Life Claim / MCS Modified 332333 487422 0 Form SSA-4-BK (Modernized Claims System version)
Application for Child's Insurance Benefits / Life Claim / SSA-4-BK Modified 2912 1019 0 Form SSA-4-BK
Other-SSA-4-BK Privacy Act Statement Revised
Total burden requested under this ICR: 572113 833947 0  
To view an IC, click on IC Title