View Information Collection (IC)

View Information Collection (IC)

Representative Payee Report and Physician's/Medical Officer's Statement
No Removed
Required to Obtain or Retain Benefits
20 CFR 725.510 - .513

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CM-623 Representative Payee Report CM-623.pdf Yes No Fillable Printable
Form and Instruction CM-787 Physician's Medical Officer's Statement CM-787_working.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

ESA-6  67 FR 16870

1,190 0
Private Sector Not-for-profit institutions, Businesses or other for-profits
   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 0 0 -1,190 0 0 1,190
Annual IC Time Burden (Hours) 0 0 -410 0 0 410
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.