Advance Designation of Representative Payee (SSA-4547 )

Advance Designation of Representative Payee

OMB: 0960-0814

IC ID: 237007

Information Collection (IC) Details

View Information Collection (IC)

Advance Designation of Representative Payee (SSA-4547 )
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-4547 Advance Designation of Representative Payee SSA-4547 mock-up.pdf No   Paper Only

Income Security General Retirement and Disability

 

85,733 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 85,733 85,733 0 0 0 0
Annual IC Time Burden (Hours) 8,573 8,573 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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