Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
WIPA Case Notes (SSA-4566) Unchanged 320400 10680 0 Form SSA-4565
Form SSA-4565
WIPA STAR System Modified 1345680 448560 0 Other-WIPA Star Screens
Other-WIPA Star System Fields
Other-Master list of WIPA Star Screen Elements
Work Incentives Planning and Assistance Program (WIPA)-- SSI & SSI Beneficiaries (SSA-4565) Unchanged 32000 13333 0 Form SSA-4565
Form SSA-4566
Total burden requested under this ICR: 1698080 472573 0  
To view an IC, click on IC Title