Application for Mother's of Father's Insurance Benefits Modernized Claims System (MCS) and Preliminary Claims System (PCS)

Application for Mother's or Father's Insurance Benefits

OMB: 0960-0003

IC ID: 45015

Documents and Forms
Document Name
Document Type
Other-MCS Screens
Other-PCS Screen Package
Other-Updated Privacy Act Statement
Information Collection (IC) Details

View Information Collection (IC)

Application for Mother's of Father's Insurance Benefits Modernized Claims System (MCS) and Preliminary Claims System (PCS)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 404.339-404.342; 20 CFR 404.601-404.603

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-MCS Screens Screen Shots.pdf Yes Yes Fillable Fileable Signable
Other-PCS Screen Package PCS Screen Package.pdf Yes No Fillable Printable
Other-Updated Privacy Act Statement for the PCS Screens PCS Privacy Act Statement.pdf Yes No Printable Only

Income Security General Retirement and Disability

 

23,335 0
   
Individuals or Households
 
   100 %

  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 23,335 0 0 0 0 23,335
Annual IC Time Burden (Hours) 5,834 0 0 0 0 5,834
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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