OMB control number

Representative Payee Report (Adult, Child, and Organizational Representative Payee)

OMB 0960-0068 · SSA.

OMB 0960-0068

When SSA determines it is not in an Old Age Survivors and Disability Insurance (OASDI), or Supplemental Security Income (SSI) recipient’s best interest to receive Social Security payments directly, the agency will designate a representative payee for the recipient. The representative payee can be: (1) a family member; (2) a non-family member who is a private citizen and is acquainted with the beneficiary; (3) an organization; (4) a state or local government agency; or (5) a business. In the capacity of representative payee, the person or organization receives the SSA recipient’s payment directly, and manages these payments. The respondents are representative payees of OASDI and SSI recipients.

The latest form for Representative Payee Report (Adult, Child, and Organizational Representative Payee) expires 2027-07-31 and is listed under ICR 202004-0960-014.

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202004-0960-014 Revision of a currently approved collection 2020-08-27
201812-0960-005 No material or nonsubstantive change to a currently approved collection 2019-02-01 Approved without change
201803-0960-015 No material or nonsubstantive change to a currently approved collection 2018-03-30 Approved without change
201702-0960-006 Revision of a currently approved collection 2017-05-17 Approved with change
201403-0960-003 Revision of a currently approved collection 2014-06-25 Approved without change
201103-0960-004 Revision of a currently approved collection 2011-06-24 Approved without change
200807-0960-006 Revision of a currently approved collection 2008-07-31 Approved without change
200701-0960-013 Revision of a currently approved collection 2007-01-26 Approved without change
200502-0960-003 Extension without change of a currently approved collection 2005-02-07 Approved without change
200112-0960-009 Revision of a currently approved collection 2001-12-17 Approved without change
199809-0960-006 Extension without change of a currently approved collection 1998-09-10 Approved without change
199706-0960-001 Revision of a currently approved collection 1997-06-04 Approved without change
199403-0960-003 Revision of a currently approved collection 1994-03-08 Approved without change
199202-0960-002 Revision of a currently approved collection 1992-02-06 Approved without change
198909-0960-006 No material or nonsubstantive change to a currently approved collection 1989-09-08 Approved with change
198901-0960-014 Revision of a currently approved collection 1989-01-27 Approved without change
198609-0960-002 Revision of a currently approved collection 1986-09-08 Approved without change
198605-0960-010 No material or nonsubstantive change to a currently approved collection 1986-05-27 Approved with change
198508-0960-013 No material or nonsubstantive change to a currently approved collection 1985-08-15 Approved with change
198408-0960-026 No material or nonsubstantive change to a currently approved collection 1984-08-02 Approved with change
198405-0960-022 No material or nonsubstantive change to a currently approved collection 1984-05-21 Approved with change
198309-0960-006 Revision of a currently approved collection 1983-09-22 Approved without change
198301-0960-005 Revision of a currently approved collection 1983-01-07 Approved without change
198205-0960-009 Reinstatement with change of a previously approved collection 1982-05-04 Approved without change
198110-0960-010 Revision of a currently approved collection 1981-10-13 Approved without change
198011-0960-001 Revision of a currently approved collection 1980-11-04 Approved without change
197903-0960-005 No material or nonsubstantive change to a currently approved collection 1979-03-28 Approved with change
197808-0960-007 No material or nonsubstantive change to a currently approved collection 1978-08-01 Approved with change
197807-0960-012 No material or nonsubstantive change to a currently approved collection 1978-07-05 Approved with change
197610-0960-004 No material or nonsubstantive change to a currently approved collection 1976-10-21 Approved with change
197609-0960-001 Extension without change of a currently approved collection 1976-09-17 Approved without change

OMB Details

SSA-623: Representative Payee Report (Adult Beneficiaries)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Information collection instruments
FormNameElectronic accessType
Form SSA-623Representative Payee Report (Adult)Fillable PrintableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.