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SSA-6234: Representative Payee Report (Organization)
Representative Payee Report (Adult, Child, and Organizational Representative Payee)
OMB: 0960-0068
IC ID: 185841
OMB.report
SSA
OMB 0960-0068
ICR 202004-0960-014
IC 185841
( )
Documents and Forms
Document Name
Document Type
Rep Payee Insert.pdf
Other-Information Insert for Paper F
SSA-6234 Representative Payee Report (Organization)
SSA-6234-OCR-SM - Revised.pdf
Form
SSA-6234-OCR-SM - Current.pdf
SSA-6234-OCR-SM - Current
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
SSA-6234: Representative Payee Report (Organization)
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 404.2065
20 CFR 416.665
20 CFR 404.2035
20 CFR 404.635
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Information Insert for Paper Forms Re New Internet Option
Rep Payee Insert.pdf
No
Paper Only
Form
SSA-6234
Representative Payee Report (Organization)
SSA-6234-OCR-SM - Revised.pdf
No
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:
497,505
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
497,505
0
-68,567
0
0
566,072
Annual IC Time Burden (Hours)
124,376
0
-17,142
0
0
141,518
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA-6234-OCR-SM - Current
SSA-6234-OCR-SM - Current.pdf
08/27/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.