Information Collection Request
Advance Designation of Representative Payee
ICR 202406-0960-001 · OMB 0960-0814 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0814 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form SSA-4547 Advance Designation of Representative Payee (Intranet Version - Paper Form SSA-4547) |
Form | Modified | Repair queued |
 Justification for Non-Substantive Changes for 0960-0814.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-06-06 | Repair queued |
| Addendum - 0814.docx |
Supplementary Document | Uploaded 2022-10-27 | Repair queued |
| Supporting Statement - 0814 (Final).docx |
Supporting Statement A | Uploaded 2023-01-03 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 256843 |  Waiver of Advance Designation (Internet Version - iClaim) |
Other-iClaim Advance Designation of Representative Payee Screens | Unchanged | |
| 256842 | Waiver of Advance Designation (Internet Version - mySSA) |
Other-mySSA Advance Designation of Representative Payee Screens | Unchanged | |
| 256631 | Waiver of Advance Designation (Intranet Version) |
Other-Intranet Advance Designation of Representative Payee Scree | Unchanged | |
| 237014 | Advance Designation of Representative Payee (Internet Version - iClaim) |
Other-iClaim Advance Designation of Representative Payee Screens | Unchanged | |
| 237013 | Advance Designation of Representative Payee (Internet Version - mySSA) |
Other-mySSA Advance Designation of Representative Payee Screens | Modified | |
| 237007 | Advance Designation of Representative Payee (Intranet Version - Paper Form SSA-4547) |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0814 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202308-0960-007 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |