Representative Payee Application/Information Necessary for a Competency Determination

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3206-0140 can be found here:

Documents and Forms

Document Name Document Type
Form RI 20-7 Representative Payee Application/Information Necessary for a Competency Determination Form and Instruction
RI 20-7 Representative Payee Application (2024; Mark-Up) RI20-007_2024_02_MarkUp.pdf www.opm.gov Form and Instruction
RI 20-7 Representative Payee Application (2024; Mark-Up) RI20-007_2024_02_MarkUp.pdf www.opm.gov Form and Instruction
RI 20-7 Representative Payee Application (2021; Mark-Up) RI20-007_2021_01_MarkUp.pdf www.opm.gov Form and Instruction
RI 20-7 Representative Payee Application (2021; Mark-Up) RI20-007_2021_01_MarkUp.pdf www.opm.gov Form and Instruction
RI 30-3 Information Necessary for a Competency Determination (20 RI30-003_2021_01_MarkUp.pdf www.opm.gov Form and Instruction
RI 30-3 Information Necessary for a Competency Determination (20 RI30-003_2021_01_MarkUp.pdf www.opm.gov Form and Instruction
RI 30-3 Information Necessary for a Competency Determination (20 RI30-003_2024_02_MarkUp.pdf www.opm.gov Form and Instruction
RI 30-3 Information Necessary for a Competency Determination (20 RI30-003_2024_02_MarkUp.pdf www.opm.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Representative Payee Application/Information Necessary for a Competency Determination	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 20-7	Representative Payee Application (2024; Mark-Up)	RI20-007_2024_02_MarkUp.pdf	www.opm.gov	Yes	No	Fillable Printable
Form and Instruction	RI 20-7	Representative Payee Application (2021; Mark-Up)	RI20-007_2021_01_MarkUp.pdf	www.opm.gov	Yes	No	Fillable Printable
Form and Instruction	RI 30-3	Information Necessary for a Competency Determination (2021, Mark Up)	RI30-003_2021_01_MarkUp.pdf	www.opm.gov	Yes	No	Printable Only
Form and Instruction	RI 30-3	Information Necessary for a Competency Determination (2024, Mark Up)	RI30-003_2024_02_MarkUp.pdf	www.opm.gov	Yes	No	Printable Only

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: OPM/Central-1	FR Citation: 73 FR 15013

Number of Respondents: 12,480	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	12,480	12,480
Annual IC Time Burden (Hours)	6,490	6,490
Annual IC Cost Burden (Dollars)	174,418	174,418

Documents for IC

Title	Document	Date Uploaded
No associated records found

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