Representative Payee Parental Custody Monitoring

ICR 200503-3220-002

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
33983 Migrated
ICR Details
3220-0176 200503-3220-002
Historical Active 200203-3220-002
RRB
Representative Payee Parental Custody Monitoring
Extension without change of a currently approved collection   No
Regular
Approved without change 04/04/2005
Retrieve Notice of Action (NOA) 03/02/2005
  Inventory as of this Action Requested Previously Approved
04/30/2008 04/30/2008 05/31/2005
1,230 0 1,850
103 0 154
0 0 0

Under Section 12(a) of the Railroad Retirement Act, 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 the 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 1,230 1,850 0 0 -620 0
Annual Time Burden (Hours) 103 154 0 0 -51 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.
03/02/2005


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