View Information Collection (IC)

View Information Collection (IC)

IC Title:	RI 20-7 - Representative Payee Application RI 30-3 - Information Necessary for a Competency Determination	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	RI 20-7	Representative Payee Application	RI 20-7 June 2010.pdf		No		Fillable Printable
Form and Instruction	RI 30-3	Information Necessary for a Competency Determination	RI30-03 June 2010.pdf		No		Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records
Title: OPM/Central-1	FR Citation: 73 FR 15013

Number of Respondents: 12,480	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	12,480	0	0	0	0	12,480
Annual IC Time Burden (Hours)	6,490	0	0	0	0	6,490
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
RI 20-7 June 2010 Markup	RI 20-7 June 2010 Markup.pdf	04/15/2010
RI 20-7 (7-03) Markup	RI20-007 (07-03) Markup.pdf	04/15/2010
RI 30-3 June 2010 Markup	RI30-03 June 2010 Markup.pdf	04/15/2010
RI 30-3 April 2005 Markup	RI30-3 April 2005 Markup.pdf	04/15/2010

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