OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Advance Designation of Representative Payee (Intranet Version - Paper Form SSA-4547)

IC 237007 under ICR 202308-0960-007 · OMB 0960-0814.

Documents and Forms
Document Name
Document Type
Form
Other-Revised PA & PRA Statements
Other-Revised PA & PRA Statements
Other-Intranet Advance Designation o
Other-Intranet Advance Designation o
Form
Form
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Advance Designation of Representative Payee (Intranet Version - Paper Form SSA-4547)
 
No Modified
 
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 (revised).pdf Yes No Fillable Fileable Signable
Other-Revised PA & PRA Statements SSA-4547 - Revised PA & PRA Statements.pdf Yes No Fillable Printable
Other-Intranet Advance Designation of Representative Payee Screens Intranet Advance Designation of Representative Payee Screen Package - Revised.pdf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

473,052 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 473,052 0 0 0 0 473,052
Annual IC Time Burden (Hours) 473,052 0 0 0 0 473,052
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA-4547 - Current SSA-4547(current).pdf 08/21/2023
Intranet Advance Designation of Representative Payee Screen Package - Current Intranet Advance Designation of Representative Payee Screen Package - Current.pdf 10/27/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.