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Federal forms, ICRs, and supporting documents

Information Collection

Advance Designation of Representative Payee (Internet Version - iClaim)

IC 237014 under ICR 202507-0960-004 · OMB 0960-0814.

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

View Information Collection (IC)

Advance Designation of Representative Payee (Internet Version - iClaim)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-iClaim Advance Designation of Representative Payee Screens Advance Designation - iClaim Screen Package.pdf www.ssa.gov Yes Yes Fillable Fileable
Other-Advance Designation of Representative Payee Annual Notice - Revised Advance Designation - Annual Notice.pdf No   Paper Only
Other-Advance Designation of Representative Payee Privacy Act Statement Advance Designation - Internet Privacy Act Statement.pdf www.ssa.gov No   Printable Only

Income Security General Retirement and Disability

 

898,233 0
   
Individuals or Households
 
   100 %

  Requested 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 898,233 0 0 70,976 0 827,257
Annual IC Time Burden (Hours) 538,940 0 0 456,214 0 82,726
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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