Information Collection

Application for Lump-Sum Death Payment--Modernized Claims System (MCS) & Preliminary Claims System (PCS)

IC 44962 under ICR 202204-0960-010 · OMB 0960-0013.

Documents and Forms

Document Name Document Type
SSA-8 - MCS Screens.pdf Other-Internal Use Screens
SSA-8 - MCS Screens.pdf Other-Internal Use Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Lump-Sum Death Payment--Modernized Claims System (MCS) & Preliminary Claims System (PCS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 404.390-404.392

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internal Use Screens			SSA-8 - MCS Screens.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 733,254	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	733,254	76,631	656,623
Annual IC Time Burden (Hours)	733,254	634,761	98,493
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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