Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certificate of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits (SSA-4111) Modified 6266 8772 0 Form SSA-4111
Other-Revised PA & PRA Statements
Other-CELE Screens
Certificate of Election for Reduced Widow(er)'s and Surviving Divorced Spouse's Benefits (Upload Documents) New 521 287 0 Form SSA-4111 (Upload Documents)
Other-Privacy Act Statement (revised)
Total burden requested under this ICR: 6787 9059 0  
To view an IC, click on IC Title