Funeral Director's Statement of Burial Charges

Application for Survivor Death Benefits

OMB: 3220-0031

IC ID: 189282

Information Collection (IC) Details

View Information Collection (IC)

Funeral Director's Statement of Burial Charges
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 219.59 20 CFR 219.58

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction G-273a (04-16) Funeral Director's Statement of Burial Charges Form G-273A (04-16).pdf No   Paper Only
Form G-273A (Proposed) Funeral Director's Statement of Burial Expenses Form G-273A (Proposed).pdf No   Paper Only

Income Security Survivor Compensation

RRB-22, Railroad Retirement, Survivor and Pension Benefit System   79 FR 58874

4,000 0
   
Private Sector Businesses or other for-profits
 
   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 4,000 0 0 0 0 4,000
Annual IC Time Burden (Hours) 667 0 0 0 0 667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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