Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Individuals/Households: Paper SSA-11-BK Modified 70452 14090 0 Form SSA-11-BK Request to be Selected as a Payee
Individuals/Households: Representative Payee System (RPS) Modified 1761300 1849365 0 Other-Internal Use Screens
Private Sector: Paper SSA-11-BK Modified 7045 1409 0 Form SSA-11-BK Request to be Selected as Payee
Private Sector: RPS Modified 176130 184937 0 Other-Internal Screens
State/Local/Tribal Government: Paper SSA-11-BK Modified 350 70 0 Form SSA-11-BK Request to be Selected as a Payee
State/Local/Tribal Government: RPS Modified 19570 20549 0 Other-Internal Use Screens
Total burden requested under this ICR: 2034847 2070420 0  
To view an IC, click on IC Title