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SSA-623: Representative Payee Report (Adult Beneficiaries)
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
20 CFR 404.2065 20 CFR 416.665 20 CFR 404.635 20 CFR 404.2035

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SSA-623 No   Fillable Printable
Other-Information Insert for Paper Forms Re New Internet Option No   Paper Only
Other-Revised PA and PRA Statements No   Fillable Printable

Income Security General Retirement and Disability

 

2,812,662 0
   
Individuals or Households
 
   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 2,812,662 0 0 0 0 2,812,662
Annual IC Time Burden (Hours) 703,166 0 0 0 0 703,166
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Current SSA-623 04/12/2017
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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