Information Collection Request
Application to Collect A Fee for Payee Services
ICR 202405-0960-004 · OMB 0960-0719 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-445 Application to Collect A Fee for Payee Services (State/local government offices) |
Form | Modified | Missing upstream |
| Form SSA-445 Applicaiton To Collect A Fee For Payee Services (Private Sector Business) |
Form | Modified | Repair queued |
 Supporting Statement - 0719 (Final).docx |
Supporting Statement A | Uploaded 2024-06-21 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 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 |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0719 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202010-0960-012 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |