Information Collection

RI 20-7 - Representative Payee Application RI 30-3 - Information Necessary for a Competency Determination

IC 33606 under ICR 201004-3206-009 · OMB 3206-0140.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0140 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form RI 20-7 RI 20-7 - Representative Payee Application RI 30-3 - Information Necessary for a Competency Determination	Form and Instruction
RI 20-7 Representative Payee Application RI 20-7 June 2010.pdf	Form and Instruction
RI 30-3 Information Necessary for a Competency Determination RI30-03 June 2010.pdf	Form and Instruction
RI 20-7 June 2010 Markup.pdf RI 20-7 June 2010 Markup	IC Document
RI20-007 (07-03) Markup.pdf RI 20-7 (7-03) Markup	IC Document
RI30-03 June 2010 Markup.pdf RI 30-3 June 2010 Markup	IC Document
RI30-3 April 2005 Markup.pdf RI 30-3 April 2005 Markup	IC Document

IC Title:

RI 20-7 - Representative Payee Application RI 30-3 - Information Necessary for a Competency Determination

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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	RI 20-7	Representative Payee Application	RI 20-7 June 2010.pdf		No		Fillable Printable
Form and Instruction	RI 30-3	Information Necessary for a Competency Determination	RI30-03 June 2010.pdf		No		Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: OPM/Central-1

FR Citation: 73 FR 15013

Number of Respondents: 12,480

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	12,480	12,480
Annual IC Time Burden (Hours)	6,490	6,490
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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