Application for Substitution of Payee and Duties As Representative Payee (Individuals)

Application to Act as Representative Payee

OMB: 3220-0052

IC ID: 33865

Information Collection (IC) Details

View Information Collection (IC)

Application for Substitution of Payee and Duties As Representative Payee (Individuals)
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 266.9 20 CFR 266.7 20 CFR 266.6

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form AA-5 Application for Substitution of Payee Form AA-5 (01-04).pdf No   Paper Only
Form and Instruction RB-5 RB-5 Booklet; Your Duties as Representative Payee- Representative Payee's Record Form RB-5 (3-98).pdf No   Paper Only

Income Security General Retirement and Disability

RRB 22 - Railroad Retirement, Survivor, and Pensioner Benefit System   40 FR 36268

11,500 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 13,725 0 -6,575 0 0 20,300
Annual IC Time Burden (Hours) 12,112 0 -4,238 0 0 16,350
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-11-BK (3-2006) Form SSA-11-BK (03-2006).pdf 03/01/2006
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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