OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application to Act as Representative Payee

OMB 3220-0052 ยท 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 2026-07-31 and is listed under ICR 202303-3220-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form RB-5 (xx-xx) RB-5 Booklet: Your Duties as Representative Payee - Representative Payee's RecordForm and Instruction
Form AA-5 (xx-xx) Application for Substitution of PayeeForm
Form RB-5 RB-5 Booklet; Your Duties as Representative Payee - Representative Payee's RecordForm and Instruction
Form AA-5 Application for Substitution of PayeeForm
Form G-478 (xx-xx) Statement Regarding Patient's Capability to Manage PaymentsForm and Instruction
Form G-478 Statement Regarding Patient's Capability to Manage PaymentsForm and Instruction
Form RB-5 (xx-xx) Your Duties as Representative Payee - Representative's Payee's RecordForm and Instruction
Form AA-5 (xx-xx) Application for Substitution of PayeeForm and Instruction
Form RB-5 Your Duties as Representative Payee-Representative's Payee's RecordForm and Instruction
Form AA-5 Application for Substitution of PayeeForm and Instruction
3220-0052_Final.docxSupporting Statement A
Application for Substitution of Payee and Duties As Representative Payee (Individuals) Form and Instruction
Application for Substitution of Payee and Duties As Representative Payee (Individuals) Form
Application for Substitution of Payee and Duties As Representative Payee (Individuals) Form and Instruction
Application for Substitution of Payee and Duties As Representative Payee (Individuals) Form
Statement Regarding Patient's Capability to Manage Payments Form and Instruction
Statement Regarding Patient's Capability to Manage Payments Form and Instruction
Application for Substitution of Payee and Duties as Representative Payee (Institutions) Form and Instruction
Application for Substitution of Payee and Duties as Representative Payee (Institutions) Form and Instruction
Application for Substitution of Payee and Duties as Representative Payee (Institutions) Form and Instruction
Application for Substitution of Payee and Duties as Representative Payee (Institutions) Form and Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202507-3220-004 Revision of a currently approved collection 2026-05-29
202303-3220-001 Revision of a currently approved collection 2023-03-28 Approved without change
201912-3220-003 Extension without change of a currently approved collection 2019-12-30 Approved without change
201608-3220-001 Revision of a currently approved collection 2016-10-26 Approved without change
201308-3220-001 Revision of a currently approved collection 2013-08-12 Approved without change
201006-3220-001 Extension without change of a currently approved collection 2010-07-19 Approved without change
200703-3220-003 Revision of a currently approved collection 2007-04-27 Approved without change
200403-3220-003 Extension without change of a currently approved collection 2004-03-25 Approved without change
200102-3220-001 Revision of a currently approved collection 2001-02-06 Approved without change
199711-3220-001 Extension without change of a currently approved collection 1997-11-04 Approved without change
199409-3220-001 Extension without change of a currently approved collection 1994-09-28 Approved without change
199106-3220-002 No material or nonsubstantive change to a currently approved collection 1991-06-24 Approved with change
199106-3220-001 Revision of a currently approved collection 1991-06-28 Approved without change
198802-3220-003 Revision of a currently approved collection 1988-02-23 Approved without change
198709-3220-002 Revision of a currently approved collection 1987-09-28 Approved without change
198609-3220-005 No material or nonsubstantive change to a currently approved collection 1986-09-30 Approved with change
198410-3220-003 Revision of a currently approved collection 1984-10-26 Approved without change
198107-3220-004 No material or nonsubstantive change to a currently approved collection 1981-07-28 Approved with change
198105-3220-028 No material or nonsubstantive change to a currently approved collection 1981-05-28 Approved with change
198103-3220-001 Revision of a currently approved collection 1981-03-04 Approved without change
198003-3220-004 Revision of a currently approved collection 1980-03-18 Approved without change
197502-3220-007 No material or nonsubstantive change to a currently approved collection 1975-02-21 Approved with change
197502-3220-001 Extension without change of a currently approved collection 1975-02-10 Approved without change

OMB Details

Application for Substitution of Payee and Duties As Representative Payee (Individuals)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Information collection instruments
FormNameElectronic accessType
Form AA-5Application for Substitution of PayeePaper OnlyForm
Form RB-5 (xx-xx)RB-5 Booklet: Your Duties as Representative Payee - Representative Payee's RecordPaper OnlyForm and instruction
Form AA-5 (xx-xx)Application for Substitution of PayeePaper OnlyForm
Form RB-5RB-5 Booklet; Your Duties as Representative Payee - Representative Payee's RecordPaper OnlyForm and instruction

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