REPRESENTATIVE PAYEE REPORT FOR SUPPLEMENTAL SECURITY INCOME

ICR 197908-0960-003

OMB: 0960-0135

Federal Form Document

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Document
Name
Status
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IC Document Collections
ICR Details
0960-0135 197908-0960-003
Historical Active 197906-0960-005
SSA
REPRESENTATIVE PAYEE REPORT FOR SUPPLEMENTAL SECURITY INCOME
Revision of a currently approved collection   No
Regular
Approved without change 08/14/1979
Retrieve Notice of Action (NOA) 08/08/1979
  Inventory as of this Action Requested Previously Approved
07/31/1984 07/31/1984 08/31/1979
321,200 0 127,500
107,067 0 42,000
0 0 0

SECTION 1631(A)(2) OF THE SOCIAL SECURITY ACT PROVIDES FOR CERTIFICATION OF PAYMENTS UNDER TITLE XVI TO A PERSON, OTHER THAN THE RECIPIENT, WHO IS INTERESTED IN OR CONCERNED WITH THE WELFARE OF SUCH INDIVIDUAL. THIS FORM IS USED IN SUPPLY INFORMATION ABOUT THE USE OF BENEFITS AND TO DETERMINE WHETHER TO CONTINUE MAKING PAYMENTS TO THE REPRESENTATIVE PAYEE.

None
None


No

1
IC Title Form No. Form Name
REPRESENTATIVE PAYEE REPORT FOR SUPPLEMENTAL SECURITY INCOME SSA-8190

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 321,200 127,500 0 0 193,700 0
Annual Time Burden (Hours) 107,067 42,000 0 0 65,067 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/08/1979


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