View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Advance Designation of Representative Payee (Internet Version - mySSA)
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-mySSA Advance Designation of Representative Payee Screens Yes Yes Fillable Fileable Signable
Other-Advance Designation of Representative Payee Annual Notice No   Paper Only
Other-Advance Designation of Represenative Payee Receipts No   Paper Only
Other-Advance Designation of Representative Payee Privacy Act Statement Screen (revised) Yes No Paper Only
Other-Revised Internet Screens www.ssa.gov Yes Yes Fillable Fileable Signable

Income Security General Retirement and Disability

 

327,101 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 327,101 0 0 0 0 327,101
Annual IC Time Burden (Hours) 32,710 0 0 0 0 32,710
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
mySSA Advance Designation of Representative Payee Screen Package - Current 10/27/2022
Advance Designation of Representative Payee Annual Notice - Current 10/27/2022
Advance Designation of Represenative Payee Receipts - Current 10/27/2022
Advance Designation of Representative Payee Privacy Act Statement Screen (current) 06/06/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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