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Information Collection

Report To Social Security Administration About Workmen's Compensation

IC 115037 under ICR 197908-0960-007 · OMB 0960-0207.

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Information Collection (IC) Details

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REPORT TO SOCIAL SECURITY ADMINISTRATION ABOUT WORKMEN'S COMPENSATION
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA 4679-SM No No
Form SSA 4584-SM No No


    

15,600 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 15,600 0 0 15,600 0 0
Annual IC Time Burden (Hours) 520 0 0 520 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.