Representative Payee Survey

ICR 200402-3206-007

OMB: 3206-0208

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
33701 Migrated
ICR Details
3206-0208 200402-3206-007
Historical Active 200105-3206-001
OPM
Representative Payee Survey
Revision of a currently approved collection   No
Regular
Approved without change 06/02/2004
Retrieve Notice of Action (NOA) 02/27/2004
  Inventory as of this Action Requested Previously Approved
06/30/2007 06/30/2007 06/30/2004
11,000 0 4,067
3,667 0 1,356
0 0 0

RI 38-115 is designed to collect information about how the benefits paid to a representative payee have been used or conserved for the benefit of the incompetent annuitant.

None
None


No

1
IC Title Form No. Form Name
Representative Payee Survey RI-38-115

  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 11,000 4,067 0 0 6,933 0
Annual Time Burden (Hours) 3,667 1,356 0 0 2,311 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.
02/27/2004


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