Application to Collect A Fee for Payee Services

ICR 202405-0960-004

OMB: 0960-0719

Federal Form Document

Forms and Documents

Document Name	Status
Form SSA-445 Application to Collect A Fee for Payee Services (State/local government offices) Form	Modified
Form SSA-445 Applicaiton To Collect A Fee For Payee Services (Private Sector Business) Form	Modified
Supporting Statement - 0719 (Final).docx Supporting Statement A	2024-06-21

IC Document Collections

IC ID	Document Title	Status
9776	Application to Collect A Fee for Payee Services (State/local government offices) Form	Modified
188037	Applicaiton To Collect A Fee For Payee Services (Private Sector Business) Form	Modified