Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Individuals/Households: Paper SSA-11-BK Modified 91800 16830 0 Form SSA-11-BK Request to be Selected as Payee
Individuals/Households: Representative Payee System (RPS) Modified 1438200 263670 0 Other-Internal Use Screens
Individuals/Households: Representative Payee System (RPS)/Signature Proxy Removed 0 0 0 Other-Internal Use Screens
Private Sector: Paper SSA-11-BK Modified 3060 561 0 Form SSA-11-BK Request to be Selected as Payee
Private Sector: RPS Modified 149940 27489 0 Form SSA-11 RPS Screens Request to be Selected as Payee
Private Sector: RPS/Signature Proxy Removed 0 0 0 Form SSA-11 RPS Screens Request to be Selected as Payee
State/Local/Tribal Government: Paper SSA-11-BK Modified 340 62 0 Form SSA-11-BK Request to be Selected as Payee
State/Local/Tribal Government: RPS Modified 16660 3054 0 Form SSA-11 RPS Screens Request to be Selected as Payee
State/Local/Tribal Government: RPS/Signature Proxy Removed 0 0 0 Form SSA-11 RPS Screens Request to be Selected as Payee
Total burden requested under this ICR: 1700000 311666 0  
To view an IC, click on IC Title