Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Representative Payee Evaluation Report--Individuals/Households Modified 6453 12046 0 Form SSA-624-F5
Other-Revised PA Statement
Representative Payee Evaluation Report--Private Sector Modified 260 468 0 Form SSA-624-F5
Other-Revised PA Statement
Representative Payee Evaluation Report--State/Local Government Modified 38 68 0 Form SSA-624-F5
Other-Revised PA Statement
Total burden requested under this ICR: 6751 12582 0  
To view an IC, click on IC Title