OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Application for Widow's or Widower's Insurance Benefits - Modernized Claims System (MCS)

IC 44959 under ICR 202503-0960-004 · OMB 0960-0004.

Documents and Forms
Document Name
Document Type
Other-MCS Screens
Information Collection (IC) Details

View Information Collection (IC)

Application for Widow's or Widower's Insurance Benefits - Modernized Claims System (MCS)
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 404.335-404.338 20 CFR 404.603

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

Income Security General Retirement and Disability

 

570,540 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 570,540 0 0 0 0 570,540
Annual IC Time Burden (Hours) 285,270 0 0 0 0 285,270
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.