Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Continuation of SSI Benefits for the Temporarily Institutionalized - Certification of Period and Need to Maintain Home - Physician's Certifications Modified 26712 6678 0 Other-Intranet Screens
Form and Instruction SSA-186
Other-Revised PA and PRA Statements
Continuation of SSI Benefits for the Temporarily Institutionalized - Certification of Period and Need to Maintain Home - Statement from other Respondents Modified 26712 28048 0 Other-SSI Claims System Screens
Form SSA-186
Other-Revised PA and PRA Statements
Total burden requested under this ICR: 53424 34726 0  
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