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Representative Payee Report of Benefits and Dedicated Account, 20 CFR 416.546 & 640, and 20 CFR 416.635 & 665
Representative Payee Report of Benefits and Dedicated Account
OMB: 0960-0576
IC ID: 9534
OMB.report
SSA
OMB 0960-0576
ICR 202406-0960-002
IC 9534
( )
Documents and Forms
Document Name
Document Type
Form SSA-6233-BK
Representative Payee Report of Benefits and Dedicated Account, 20 CFR 416.546 & 640, and 20 CFR 416.635 & 665
Form and Instruction
SSA-6233-BK Representative Payee Report of Benefits and Dedicated Account
SSA-6233 (revised).pdf
Form and Instruction
Privacy Act Statement 0960-0576 (revised).docx
Other-Revised Privacy Act Statements
SSA-6233 (current).pdf
SSA-6233-BK - Current
IC Document
Information Collection (IC) Details
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