REPRESENTATIVE PAYEE CUSTODY REPORT

ICR 198610-0960-005

OMB: 0960-0381

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
166826 Migrated
ICR Details
0960-0381 198610-0960-005
Historical Active 198606-0960-004
SSA
REPRESENTATIVE PAYEE CUSTODY REPORT
No material or nonsubstantive change to a currently approved collection   No
Emergency 10/29/1986
Approved with change 10/29/1986
Retrieve Notice of Action (NOA) 10/29/1986
  Inventory as of this Action Requested Previously Approved
07/31/1989 07/31/1989 07/31/1989
2,305,000 0 1
76,833 0 1
0 0 0

THE INFORMATION COLLECTED BY THE USE OF FORM SSA-629 IS NEED TO DETERMINE WHETHER PARENTS OR SPOUSES WHO ARE PAYEES FOR BENEFICIARI HAVE CUSTODY OF THE BENEFICIARIES. THE AFFECTED PUBLIC IS COMPRISED OF PARENTS OR SPOUSES WHO ARE PAYEES AND ALLEGE THAT THEY HAVE CUSTODY OF ENTITLED BENEFICIARIES.

None
None


No

1
IC Title Form No. Form Name
REPRESENTATIVE PAYEE CUSTODY REPORT SSA-629

  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 2,305,000 1 0 2,304,999 0 0
Annual Time Burden (Hours) 76,833 1 0 76,832 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
10/29/1986


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