Representative Payee Report -- CM-623 Representative Payee Report, Short Form -- CM-623S Physician's/Medical Officer's Report -- CM-787

Representative Payee Report -- CM-623 Representative Payee Report, Short Form -- CM-623S Physician's/Medical Officer's Report -- CM-787

OMB: 1215-0173

IC ID: 13879

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Representative Payee Report -- CM-623 Representative Payee Report, Short Form -- CM-623S Physician's/Medical Officer's Report -- CM-787
 
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 CM-623S No No
Form CM-787 No No
Form CM-623 No No


    

3,098 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 3,098 0 0 650 0 2,448
Annual IC Time Burden (Hours) 3,569 0 0 1,362 0 2,207
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.

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