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Representative Payee Parental Custody Monitoring
Representative Payee Parental Custody Monitoring
OMB: 3220-0176
IC ID: 33983
OMB.report
RRB
OMB 3220-0176
ICR 202406-3220-008
IC 33983
( )
Documents and Forms
Document Name
Document Type
Form G-99D (04-17)
Representative Payee Parental Custody Monitoring
Form and Instruction
G-99D (04-17) Parental Custody Report
Form G-99D - (04-22).docx
Form and Instruction
G-99D (04-17) Parental Custody Report
Form G-99D - (04-22).docx
Form and Instruction
G-99 (Proposed) Parental Custody Report
Form G-99D (XX-XX) Proposed.docx
Form and Instruction
G-99 (Proposed) Parental Custody Report
Form G-99D (XX-XX) Proposed.docx
Form and Instruction
Form G-99A (12-16).pdf
Representative Payee Report
IC Document
Form G-99A (12-16).pdf
Representative Payee Report
IC Document
Form G-99C (12-16).pdf
Representative Payee Evaluation
IC Document
Form G-99C (12-16).pdf
Representative Payee Evaluation
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Representative Payee Parental Custody Monitoring
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
20 CFR 266.7
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
G-99D (04-17)
Parental Custody Report
Form G-99D - (04-22).docx
No
Paper Only
Form and Instruction
G-99 (Proposed)
Parental Custody Report
Form G-99D (XX-XX) Proposed.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
RRB-22, Railroad Retirement , Survivor, and Pensioner Benefit System
FR Citation:
79 FR 58874
Number of Respondents:
2,100
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
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
2,100
0
0
0
0
2,100
Annual IC Time Burden (Hours)
525
0
0
0
0
525
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Representative Payee Report
Form G-99A (12-16).pdf
11/19/2020
Representative Payee Evaluation
Form G-99C (12-16).pdf
11/19/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.