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SSA-4547 Intranet version (SSI Claims System; MCS; iMAIN)
Advance Designation of Representative Payee
OMB: 0960-0814
IC ID: 237014
OMB.report
SSA
OMB 0960-0814
ICR 202002-0960-005
IC 237014
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0814 can be found here:
2024-06-07 - No material or nonsubstantive change to a currently approved collection
2023-08-23 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Intranet Advance Designation of Representative Payee Screen Package final 9.25.pdf
Other-SSA-4547 Intranet screens
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SSA-4547 Intranet version (SSI Claims System; MCS; iMAIN)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-SSA-4547 Intranet screens
Intranet Advance Designation of Representative Payee Screen Package final 9.25.pdf
Yes
Yes
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
8,451,966
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
8,451,966
8,451,966
0
0
0
0
Annual IC Time Burden (Hours)
845,197
845,197
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
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.