Addendum to the Supporting Statement - 0068

Addendum to Supporting Statement for the SSA-623, SSA-6230, SSA-6234,

and iRPA (Internet Representative Payee Accounting)

Representative Payee Report (for Adult and Child Beneficiaries

and for Organizational Representative Payees)

20 CFR 404.635, 404.2035, 404.2065, and 416.665

OMB No. 0960-0068

Minor Revisions to the Collection Instrument

SSA is making the following revisions:

• Change #1: We are revising the PRA statements on the SSA-623, SSA-6230, SSA-6234, and iRPA screens.

Justification #1: We are revising the PRA statements to reflect our current boilerplate language.  The current language, which dates back to the last reprint of the form, is now outdated.

• Change #2: We are revising the Privacy Act Statements on the SSA-623, SSA-6230, SSA‑6234, and iRPA screens.

Justification #2: SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statements on the SSA-623, SSA-6230, SSA‑6234, and iRPA screens.