OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Waiver of Advance Designation (Internet Version - mySSA)

IC 256842 under ICR 202406-0960-001 · OMB 0960-0814.

Documents and Forms
Document Name
Document Type
Other-mySSA Advance Designation of R
Other-mySSA Advance Designation of R
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Waiver of Advance Designation (Internet Version - mySSA)
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-mySSA Advance Designation of Representative Payee Screens mySSA Advance Designation of Representative Payee Screen Package - Revised.pdf Yes Yes Fillable Fileable

Income Security General Retirement and Disability

 

262,996 0
   
Individuals or Households
 
   100 %

  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 262,996 0 0 0 0 262,996
Annual IC Time Burden (Hours) 8,767 0 0 0 0 8,767
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
mySSA Advance Designation of Representative Payee Screen Package - Current mySSA 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.