Information Collection Request

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

ICR 202004-0960-014 · OMB 0960-0068 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form SSA-623 Representative Payee Report (Adult) Form Modified Available
Form SSA-623 SSA-623: Representative Payee Report (Adult Beneficiaries) Form Modified Repair queued
Form SSA-6234 Representative Payee Report (Organization) Form Modified Available
Form SSA-6230 Representative Payee Report (Child) Form Modified Available
Form SSA-6230 SSA-6230: Representative Payee Report (Child Beneficiaries) Form Modified Repair queued
Addendum - 0068.docx Supplementary Document Uploaded 2020-08-27 Available
Addendum - 0068.docx Supplementary Document Uploaded 2020-08-27 Repair queued
Supporting Statement - 0068 (Final).docx Supporting Statement A Uploaded 2024-07-22 Available
Supporting Statement - 0068.docx Supporting Statement A Uploaded 2020-08-27 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
9006 SSA-623: Representative Payee Report (Adult Beneficiaries) Form ModifiedRepresentative Payee Report (Adult)
9006 SSA-623: Representative Payee Report (Adult Beneficiaries) Form Modified
9006 SSA-623: Representative Payee Report (Adult Beneficiaries) Other-Information Insert for Paper Forms Re New Internet Option Modified
234599 MyRPA Other-Online application Modified
185842 iRPA: Internet Representative Payee Report Other-Online application Modified
185841 SSA-6234: Representative Payee Report (Organization) Form ModifiedRepresentative Payee Report (Organization)
185841 SSA-6234: Representative Payee Report (Organization) Other-Information Insert for Paper Forms Re New Internet Option Modified
185840 SSA-6230: Representative Payee Report (Child Beneficiaries) Form ModifiedRepresentative Payee Report (Child)
185840 SSA-6230: Representative Payee Report (Child Beneficiaries) Form Modified
185840 SSA-6230: Representative Payee Report (Child Beneficiaries) Other-Information Insert for Paper Forms Re New Internet Option Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2027 36 Months From Approved 07/31/2024
2,041,127 0 4,676,294
2,551,408 0 1,169,074
0 0 0





Reginfo record details
5
table that charts list of burden
IC Title Form No. Form Name
MyRPA
SSA-6230: Representative Payee Report (Child Beneficiaries) SSA-6230
SSA-6234: Representative Payee Report (Organization) SSA-6234
SSA-623: Representative Payee Report (Adult Beneficiaries) SSA-623
iRPA: Internet Representative Payee Report

table that charts list 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 2,041,127 4,676,294 0 0 -2,635,167 0
Annual Time Burden (Hours) 2,551,408 1,169,074 0 0 1,382,334 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No