Information Collection

Representative Payee Report (for Organizational Representative Payees)

IC 9745 under ICR 200701-0960-022 · OMB 0960-0691.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-6234 Representative Payee Report (for Organizational Representative Payees)	Form and Instruction
SSA-6234 Representative Payee Report (Organizations) Revised SSA-6234.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 404.635 20 CFR 404.2035 20 CFR 404.2065 20 CFR 416.665

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SSA-6234	Representative Payee Report (Organizations)	Revised SSA-6234.pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 750,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	750,000	750,000
Annual IC Time Burden (Hours)	187,500	187,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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