Representative Payee Parental Custody Monitoring

ICR 200801-3220-002

OMB: 3220-0176

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2008-03-08
IC Document Collections
ICR Details
3220-0176 200801-3220-002
Historical Active 200503-3220-002
RRB
Representative Payee Parental Custody Monitoring
Extension without change of a currently approved collection   No
Regular
Approved without change 04/08/2008
Retrieve Notice of Action (NOA) 03/08/2008
  Inventory as of this Action Requested Previously Approved
04/30/2011 36 Months From Approved 04/30/2008
1,030 0 1,230
86 0 103
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

Not associated with rulemaking

  72 FR 61192 10/29/2007
73 FR 12477 03/07/2008
No

1
IC Title Form No. Form Name
Representative Payee Parental Custody Monitoring G-99D (12-05) Parental Custody Report

  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 1,030 1,230 0 0 -200 0
Annual Time Burden (Hours) 86 103 0 0 -17 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Charles Mierzwa 312-751-3363 [email protected]

  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.
03/08/2008


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