Advance Designation of Representative Payee (Internet Version - iClaim)

Advance Designation of Representative Payee

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Advance Designation of Representative Payee (Internet Version - iClaim)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-iClaim Advance Designation of Representative Payee Screens	www.ssa.gov	Yes	Yes	Fillable Fileable
Other-Advance Designation of Representative Payee Annual Notice - Revised		No		Paper Only
Other-Advance Designation of Representative Payee Privacy Act Statement	www.ssa.gov	No		Printable Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 898,233	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	898,233	70,976	827,257
Annual IC Time Burden (Hours)	538,940	456,214	82,726
Annual IC Cost Burden (Dollars)	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.

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