Waiver of Advance Designation (Internet Version - iClaim)

Advance Designation of Representative Payee

OMB: 0960-0814

IC ID: 256843

Information Collection (IC) Details

View Information Collection (IC)

Waiver of Advance Designation (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

Income Security General Retirement and Disability

 

657,489 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 657,489 0 0 0 0 657,489
Annual IC Time Burden (Hours) 21,916 0 0 0 0 21,916
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 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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