Information Collection Request
ICR 202010-0960-012 · OMB 0960-0719 · Public filing
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0719 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-445 Application to Collect A Fee for Payee Services |
Form | Modified | Repair queued |
| Form SSA-445 Applicaiton To Collect A Fee For Payee Services (Private Sector Business) |
Form | Modified | Repair queued |
 Addendum - 0719.docx |
Supplementary Document | Uploaded 2021-01-28 | Repair queued |
| Supporting Statement - 0719.docx |
Supporting Statement A | Uploaded 2021-01-28 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 9776 |  Application to Collect A Fee for Payee Services |
Form | Modified | |
| 188037 | Applicaiton To Collect A Fee For Payee Services (Private Sector Business) |
Form | Modified |
ICR Details
| OMB Control No | 0960-0719 |
|---|