REPRESENTATIVE PAYEE PARENTAL CUSTODY MONITORING

ICR 199509-3220-003

OMB: 3220-0176

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
42926 Migrated
ICR Details
3220-0176 199509-3220-003
Historical Active 199303-3220-004
RRB
REPRESENTATIVE PAYEE PARENTAL CUSTODY MONITORING
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/30/1995
Retrieve Notice of Action (NOA) 09/30/1995
  Inventory as of this Action Requested Previously Approved
04/30/1996 04/30/1996 12/31/1995
2,000 0 2,000
167 0 167
0 0 0

UNDER SECTION 12(A) OF THE RRA, THE RRB IS AUTHORIZED TO SELECT, MAKE PAYMENTS TO, AND CONDUCT TRANSACTIONS WITH AN ANNUITANT'S RELATIVE OR SOME OTHER PERSON WILLING TO ACT ON BEHALF OF THE ANNUITANT AS A REPRESENTATIVE PAYEE. THE COLLECTION OBTAINS INFORMATION NEEDED TO VERIFY THAT PARENT-FOR-CHILD PAYEE STILL RETAINS CUSTODY OF THE CHILD.

None
None


No

1
IC Title Form No. Form Name
REPRESENTATIVE PAYEE PARENTAL CUSTODY MONITORING G-99D

  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 2,000 2,000 0 0 0 0
Annual Time Burden (Hours) 167 167 0 0 0 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.
09/30/1995


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