Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SSA-5665-BK (Teachers) Modified 211487 246735 0 Form and Instruction SSA-5665-BK (Electronic)
Other-Cover Letter
Other-Cover Letter
Other-Revised PA Statement
Other-Revised PA Statement
SSA-5666 (Administrators) Modified 154723 116042 0 Form and Instruction SSA-5666
Other-Cover Letter
Other-Revised PA Statement
Other-Revised PA Statement
Other-Cover Letter
Total burden requested under this ICR: 366210 362777 0  
To view an IC, click on IC Title