Site Review Questionnaires for Volume and Fee-for-Service Payees and Beneficiary Interview Form

OMB 0960-0633

OMB 0960-0633

SSA uses the SSA-637, Site Review Questionnaire for Volume and Fee-for-Service Payees, to obtain information from payees about how the organization operates and carries out its representative payee responsibilities, including how it manages beneficiary funds. We then use the SSA-639, Beneficiary Interview Form, to obtain information from the beneficiaries to help corroborate the payee's statements. Due to the sensitivity of the information, SSA employees always complete the forms based on the answers respondents give during the interview. This collection is mandatory for representative payees and voluntary for beneficiaries. SSA will not allow representative payees who do not respond to continue serving as representative payees. The respondents are individuals; State and local governments; non-profit and for profit organizations serving as representative payees; and the beneficiaries they serve.

The latest form for Site Review Questionnaires for Volume and Fee-for-Service Payees and Beneficiary Interview Form expires 2022-02-28 and can be found here.

OMB Details

Site Review Questionnaires for Volume and Fee-for-Service Payees

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-637Expanded Monitoring Site Review Questionnaire for Volume and Fee for Service PayeesFillable PrintableForm

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


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