View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Representative Payee Parental Custody Monitoring	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 266.7

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-99D (04-17)				No		Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: RRB-22, Railroad Retirement , Survivor, and Pensioner Benefit System	FR Citation: 79 FR 58874

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	800	0	-230	0	0	1,030
Annual IC Time Burden (Hours)	67	0	-19	0	0	86
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Representative Payee Report		08/25/2017
Representative Payee Evaluation		08/25/2017

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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