Information Collection

Representative Payee Report (Organization)

IC 185841 under ICR 200807-0960-006 · OMB 0960-0068.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0068 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form SSA-6234 Representative Payee Report (Organization)	Form and Instruction
Form SSA-6234 -- revised 1st-page instructions.doc	Instruction
Rep Payee Insert.pdf	Other-Information Insert for Paper F
SSA-6234 Representative Payee Report (Organization) Form SSA-6234.pdf	Form and Instruction

IC Title:

Representative Payee Report (Organization)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

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

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Electronic Capability
Form and Instruction	SSA-6234	Representative Payee Report (Organization)	Form SSA-6234.pdf	No	Paper Only
Instruction			Form SSA-6234 -- revised 1st-page instructions.doc	No	Paper Only
Other-Information Insert for Paper Forms Re New Internet Option			Rep Payee Insert.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: 626,875

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	626,875	626,875
Annual IC Time Burden (Hours)	156,719	156,719
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.