Information Collection

Representative Payee Report-Special Veterans Benefits

IC 43708 under ICR 201203-0960-007 · OMB 0960-0621.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0621 can be found here:

Documents and Forms

Document Name Document Type
Form SSA-2001-F6 Representative Payee Report-Special Veterans Benefits Form
SSA-2001-F6 Representative Payee Report - Special Veterans Benefits SSA-2001-F6 Revised Version.pdf Form
SSA-2001-F6 Current Version.pdf SSA-2001 Current Version IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Representative Payee Report-Special Veterans Benefits	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 408.665

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	SSA-2001-F6	Representative Payee Report - Special Veterans Benefits	SSA-2001-F6 Revised Version.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: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA-2001 Current Version	SSA-2001-F6 Current Version.pdf	04/16/2012

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