Representative Payee Parental Custody Monitoring

Documents and Forms

Document Name Document Type
Form G-99D (04-17) Representative Payee Parental Custody Monitoring Form and Instruction
G-99D (04-17) Parental Custody Report Form G-99D (04-17).pdf Form and Instruction
G-99D (04-17) Parental Custody Report Form G-99D (04-17).pdf Form and Instruction
G-99 (Proposed) Parental Custody Report Form G-99D (xx-xx) - Proposed .pdf Form and Instruction
G-99 (Proposed) Parental Custody Report Form G-99D (xx-xx) - Proposed .pdf Form and Instruction
Form G-99A (12-16).pdf Representative Payee Report IC Document
Form G-99A (12-16).pdf Representative Payee Report IC Document
Form G-99C (12-16).pdf Representative Payee Evaluation IC Document
Form G-99C (12-16).pdf Representative Payee Evaluation IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Representative Payee Parental Custody Monitoring	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 266.7

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-99D (04-17)	Parental Custody Report	Form G-99D (04-17).pdf		No		Paper Only
Form and Instruction	G-99 (Proposed)	Parental Custody Report	Form G-99D (xx-xx) - Proposed .pdf		No		Paper Only

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB-22, Railroad Retirement , Survivor, and Pensioner Benefit System	FR Citation: 79 FR 58874

Number of Respondents: 2,100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,100	1,300	800
Annual IC Time Burden (Hours)	525	458	67
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Representative Payee Report	Form G-99A (12-16).pdf	11/19/2020
Representative Payee Evaluation	Form G-99C (12-16).pdf	11/19/2020

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