Advance Designation of Representative Payee

ICR 202406-0960-001

OMB: 0960-0814

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-4547 Advance Designation of Representative Payee (Intranet Version - Paper Form SSA-4547) Form	Modified
Justification for Non-Substantive Changes for 0960-0814.docx Justification for No Material/Nonsubstantive Change	2024-06-06
Addendum - 0814.docx Supplementary Document	2022-10-27
Supporting Statement - 0814 (Final).docx Supporting Statement A	2023-01-03

IC Document Collections

IC ID	Document Title	Status
256843	Waiver of Advance Designation (Internet Version - iClaim) Other-iClaim Advance Designation of Representative Payee Screens	Unchanged
256842	Waiver of Advance Designation (Internet Version - mySSA) Other-mySSA Advance Designation of Representative Payee Screens	Unchanged
256631	Waiver of Advance Designation (Intranet Version) Other-Intranet Advance Designation of Representative Payee Scree	Unchanged
237014	Advance Designation of Representative Payee (Internet Version - iClaim) Other-iClaim Advance Designation of Representative Payee Screens	Unchanged
237013	Advance Designation of Representative Payee (Internet Version - mySSA) Other-mySSA Advance Designation of Representative Payee Screens	Modified
237007	Advance Designation of Representative Payee (Intranet Version - Paper Form SSA-4547) Form	Modified