Representative Payee Report (Adult, Child, and Organizational Representative Payee)

Forms and Documents

Document Name	Status
Form SSA-623 SSA-623: Representative Payee Report (Adult Beneficiaries) Form	Modified
Form SSA-6234 SSA-6234: Representative Payee Report (Organization) Form	Modified
Form SSA-6230 SSA-6230: Representative Payee Report (Child Beneficiaries) Form	Modified
Justification for Non-Substantive Changes - 0068.docx Justification for No Material/Nonsubstantive Change	2019-01-16

IC Document Collections

IC ID	Document Title	Status
9006	SSA-623: Representative Payee Report (Adult Beneficiaries) Form	Modified
234599	MyRPA Other-Online application	New
185842	iRPA: Internet Representative Payee Report Other-Online application	Modified
185841	SSA-6234: Representative Payee Report (Organization) Form	Modified
185840	SSA-6230: Representative Payee Report (Child Beneficiaries) Form	Modified

ICR Details

OMB Control No: 0960-0068	ICR Reference No: 201812-0960-005
Status: Active	Previous ICR Reference No: 201803-0960-015
Agency/Subagency: SSA	Agency Tracking No:
Title: Representative Payee Report (Adult, Child, and Organizational Representative Payee)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/26/2019
	Date Received in OIRA: 02/01/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2020	09/30/2020	09/30/2020
Responses	4,676,294	0	7,151,527
Time Burden (Hours)	1,169,074	0	1,787,883
Cost Burden (Dollars)	0	0	0

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Abstract: When SSA determines it is not in beneficiaries' best interests to receive their Social Security benefits payments directly, the Agency will designate a family member, unrelated person, or organization to act as the representative payee for such beneficiaries. Representative payees must account to SSA about how they use these payments on their beneficiaries' behalf; they use forms SSA-623 (for adult beneficiaries), SSA-6230 (for child beneficiaries), and SSA-6234 (organizational rep payees) to do so. We are completing a Non-Substantive Change Request due to the roll out of myRPA system on July 21, 2018. myRPA will ask the same questions as IRPA, but is part of the Agencies mySocialSecurity Redesign initiative, that will provide critical enhancements to the mySocialSecurity portal. The enhancements allow for adaptability of future eService applications into mySocialSecurity. This change request is to reduce the number of respondents reporting on Forms: SSA-623; SSA-6230; and SSA-6234, which will also reduce the estimated total annual burden (hours), due to legislative change.

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Authorizing Statute(s): US Code: 42 USC 1383 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: PL: Pub.L. 116 - 165 102 Name of Law: The Strengthing Protections for Social Security Beneficiaries Act of 2018

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 12878	03/07/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 22173	05/12/2017
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
SSA-6234: Representative Payee Report (Organization)	SSA-6234	Representative Payee Report (Organization)
SSA-623: Representative Payee Report (Adult Beneficiaries)	SSA-623	Representative Payee Report (Adult)
SSA-6230: Representative Payee Report (Child Beneficiaries)	SSA-6230	Representative Payee Report (Child)
iRPA: Internet Representative Payee Report
MyRPA

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ICR Summary of Burden

	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	4,676,294	7,151,527	-2,475,233	0	0	0
Annual Time Burden (Hours)	1,169,074	1,787,883	-618,809	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is a decrease in the number of burden hour, because we no longer require certain representative payees to file a Representative Payee Report on behalf of beneficiaries.

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Annual Cost to Federal Government: $32,800,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/01/2019

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