I4547 (internet version)

Advance Designation of Representative Payee

OMB: 0960-0814

IC ID: 237013

Information Collection (IC) Details

View Information Collection (IC)

I4547 (internet version)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-iClaim Internet Screens iClaim Advance Designation of Representative Payee Screen Package.pdf Yes Yes Fillable Fileable Signable
Other-mySSA Internet Screens mySSA Advance Designation of Representative Payee Screen Package_9.26 Alternative V1.3.pdf Yes Yes Fillable Fileable Signable
Other-Annual Notice Advance Designation of Representative Payee Annual Notice.pdf Yes No Paper Only
Other-Payee Receipts Advance Designation of Represenative Payee Receipts final 08.20.pdf Yes No Paper Only

Income Security General Retirement and Disability

 

3,201,466 0
   
Individuals or Households
 
   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 3,201,466 3,201,466 0 0 0 0
Annual IC Time Burden (Hours) 320,147 320,147 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

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