Information Collection

Audit Of Ssa's Use Of The Form-ssa-721, Statement Of Death And Burial Expenses By Funeral Directors

IC 116744 under ICR 198803-0990-001 · OMB 0990-0177.

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Information Collection (IC) Details

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IC Title:	AUDIT OF SSA'S USE OF THE FORM-SSA-721, STATEMENT OF DEATH AND BURIAL EXPENSES BY FUNERAL DIRECTORS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

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