RB-5 (proposed) RB-5 Booklet: Your Duties as Representative Payee-Repres

Application to Act as Representative Payee

Form RB-5 (Proposed)

Application for Substitution of Payee and Duties As Representative Payee (Individuals)

OMB: 3220-0052

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3220-0052 can be found here:

2023-03-28 - Revision of a currently approved collection
2019-12-30 - Extension without change of a currently approved collection

Document [pdf]

Download: pdf | pdf

XXXX 1275

XXXXXX

xxxxxxxxxxx

, Tuesday, Thursday, and Friday and from
9:00 a.m. to 12:00 p.m. on Wednesday.

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

XXXXXXXXX

, Tuesday, Thursday, and Friday and from
9:00 a.m. to 12:00 p.m. on Wednesday.

12

13

1275
XXX

File Type	application/pdf
File Modified	2016-08-22
File Created	2016-08-08