Representative Payee Parental Custody Monitoring

ICR 201406-3220-001

OMB: 3220-0176

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2014-06-16
IC Document Collections
ICR Details
3220-0176 201406-3220-001
Historical Active 201103-3220-001
RRB
Representative Payee Parental Custody Monitoring
Revision of a currently approved collection   No
Regular
Approved without change 08/14/2014
Retrieve Notice of Action (NOA) 06/30/2014
  Inventory as of this Action Requested Previously Approved
08/31/2017 36 Months From Approved 08/31/2014
1,030 0 1,030
86 0 86
0 0 0

Under Section 12(a) of the Railroad Retirement Act, the RRB is authorized to select, make payments to, and conduct transactions with an annuitant's relative or some other person willing to act on behalf of the annuitant as a representative payee. The collection obtains information needed to verify the parent-for-child payee still retains custody of the child.

None
None

Not associated with rulemaking

  79 FR 20251 04/11/2014
79 FR 35581 06/23/2014
No

1
IC Title Form No. Form Name
Representative Payee Parental Custody Monitoring G-99D (xx-xx), G-99D (06-11) Parental Custody Report ,   Parental Custody Report

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,030 1,030 0 0 0 0
Annual Time Burden (Hours) 86 86 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
Yes
No
No
No
Uncollected
Charles Mierzwa 312-751-3363 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
06/30/2014


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