iRPA: Internet Representative Payee Report

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
iRPA screen shots - Revised Version.pdf www.socialsecurity.gov Other-Online application
iRPA screen shots - CurrentVersion.pdf Current iRPA Screens IC Document

Information Collection (IC) Details

IC Title:	iRPA: Internet Representative Payee Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

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

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online application			iRPA screen shots - Revised Version.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 652,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	652,500	-285,000	937,500
Annual IC Time Burden (Hours)	163,125	-71,250	234,375
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current iRPA Screens	iRPA screen shots - CurrentVersion.pdf	04/08/2011

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