OMB control number
Application to Act as Representative Payee
OMB 3220-0052 · RRB.
OMB 3220-0052
Under Section 12 of the Railroad Retirement Act, the Railroad Retirement Board (RRB) may pay benefits to a representative payee when an employee, spouse or survivor annuitant is incompetent or is a minor. The collection obtains information related to the representative payee application, supporting documentation and the maintenance of records pertaining to the receipt and use of benefits.
The latest form for Application to Act as Representative Payee expires 2026-06-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
 Form RB-5 (xx-xx) RB-5 Booklet: Your Duties as Representative Payee - Representative Payee's Record (document unavailable)Form and Instruction |
| Form AA-5 (xx-xx) Application for Substitution of Payee (document unavailable) Form |
| Form RB-5 RB-5 Booklet; Your Duties as Representative Payee - Representative Payee's Record (document unavailable) Form and Instruction |
| Form AA-5 Application for Substitution of Payee (document unavailable) Form |
| Form G-478 (xx-xx) Statement Regarding Patient's Capability to Manage Payments (document unavailable) Form and Instruction |
| Form G-478 Statement Regarding Patient's Capability to Manage Payments (document unavailable) Form and Instruction |
| Form RB-5 (xx-xx) Your Duties as Representative Payee - Representative's Payee's Record (document unavailable) Form and Instruction |
| Form AA-5 (xx-xx) Application for Substitution of Payee (document unavailable) Form and Instruction |
| Form RB-5 Your Duties as Representative Payee-Representative's Payee's Record (document unavailable) Form and Instruction |
| Form AA-5 Application for Substitution of Payee (document unavailable) Form and Instruction |
 3220-0052_Final.docx (document unavailable)Supporting Statement A |
Application for Substitution of Payee and Duties As Representative Payee (Individuals) All Historical Document Collections
OMB Details
Application for Substitution of Payee and Duties As Representative Payee (Individuals)
Federal Enterprise Architecture: Income Security - General Retirement and Disability
| Form AA-5 | Application for Substitution of Payee | Paper Only | Form |
| Form RB-5 (xx-xx) | RB-5 Booklet: Your Duties as Representative Payee - Representative Payee's Record | Paper Only | Form and instruction |
| Form AA-5 (xx-xx) | Application for Substitution of Payee | Paper Only | Form |
| Form RB-5 | RB-5 Booklet; Your Duties as Representative Payee - Representative Payee's Record | Paper Only | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.