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Representative Payee Questionnaire (individual) And Representative Payee Questionnaire (institution)

IC 166876 under ICR 199406-0960-005 · OMB 0960-0493.

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REPRESENTATIVE PAYEE QUESTIONNAIRE (INDIVIDUAL) AND REPRESENTATIVE PAYEE QUESTIONNAIRE (INSTITUTION)
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-6220 No No
Form SSA-622 No No


    

420,000 0
   
Individuals or Households
 
   0 %

  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 4,775,000 0 0 0 0 4,775,000
Annual IC Time Burden (Hours) 38,322 0 0 0 0 38,322
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.