Information Collection

Individuals/Households: Representative Payee System (RPS)

IC 44953 under ICR 201511-0960-004 · OMB 0960-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0014 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
RPS Screenshots - Updated.pdf	Other-Internal Use Screens
RPS Screens - Current.pdf RPS Screenshots	IC Document

IC Title:

Individuals/Households: Representative Payee System (RPS)

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 416.601-416.665 20 CFR 404.2010-404.2055

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
Other-Internal Use Screens			RPS Screenshots - Updated.pdf		Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,438,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 90 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,438,200	1,438,200
Annual IC Time Burden (Hours)	263,670	263,670
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
RPS Screenshots	RPS Screens - Current.pdf	11/30/2015

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