Representative Payee Survey

Representative Payee Survey

OMB: 3206-0208

IC ID: 33701

Information Collection (IC) Details

View Information Collection (IC)

Representative Payee Survey
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction RI 38-115 Representative Payee Survey RI 38-115_2018_04_MarkUp.pdf Yes No Fillable Printable
Form and Instruction RI 38-115 Representative Payee Survey RI 38-115_2017_05 MarkUp.pdf Yes No Fillable Printable

General Government Executive Functions

OPM/Central-1  73 FR 15013

11,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 11,000 0 0 0 0 11,000
Annual IC Time Burden (Hours) 3,667 0 0 0 0 3,667
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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