Advance Designation of Representative Payee (Internet Version - iClaim)

Advance Designation of Representative Payee

OMB: 0960-0814

IC ID: 237014

Documents and Forms
Document Name
Document Type
Other-iClaim Advance Designation of
Other-iClaim Advance Designation of
Other-Advance Designation of Represe
Other-Advance Designation of Represe
Other-Advance Designation of Represe
Other-Advance Designation of Represe
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Advance Designation of Representative Payee (Internet Version - iClaim)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-iClaim Advance Designation of Representative Payee Screens iClaim Advance Designation of Representative Payee Screen Package (revised).pdf Yes Yes Fillable Fileable
Other-Advance Designation of Representative Payee Annual Notice - Revised Advance Designation of Representative Payee Annual Notice - Revised.pdf No   Paper Only
Other-Advance Designation of Represenative Payee Receipts - Revised Advance Designation of Represenative Payee Receipts - Revised.pdf No   Paper Only

Income Security General Retirement and Disability

 

827,257 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 827,257 0 0 0 0 827,257
Annual IC Time Burden (Hours) 82,726 0 0 0 0 82,726
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
iClaim Advance Designation of Representative Payee Screen Package - Current iClaim Advance Designation of Representative Payee Screen Package (current).pdf 08/21/2023
Advance Designation of Representative Payee Annual Notice - Current Advance Designation of Representative Payee Annual Notice - Current.pdf 10/27/2022
Advance Designation of Represenative Payee Receipts - Current Advance Designation of Represenative Payee Receipts - Current.pdf 10/27/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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