Information Collection

Payee Interview; Beneficiary Interview; Custodian Interview

IC 9564 under ICR 199912-0960-006 · OMB 0960-0588.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Payee Interview; Beneficiary Interview; Custodian Interview

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SSA-835	No	No
Form	SSA-836	No	No
Form	SSA-837	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,690

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,690	-1,690	3,380
Annual IC Time Burden (Hours)	490	-906	1,396
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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