Addendum to the Supporting Statement for 0960-0068

Addendum - 0068.doc

Representative Payee Report (Adult, Child, and Organizational Representative Payee)

Addendum to the Supporting Statement for 0960-0068

OMB: 0960-0068

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Addendum to the Supporting Statement for the SSA-623, SSA-6230, SSA-6234,

and iRPA (Internet Representative Payee Accounting)

Representative Payee Report (for Adult and Child Beneficiaries

and for Organizational Representative Payees)

20 CFR 404.635, 404.2035, 404.2065, and 416.665

OMB No. 0960-0068



Revisions to the Collection Instrument


We are revising the PRA statement to reflect our current boilerplate language. The current language, which dates back to the last reprint of the form, is now outdated.


SSA's Office of the General Counsel is conducting a systematic review of SSA's Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statement on this form.

File Typeapplication/msword
File TitleAddendum to the Supporting Statement for Form SSA-2528
AuthorNaomi Lebowitz
Last Modified By889123
File Modified2011-04-14
File Created2011-04-14

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