Information Collection

Representative Payee Questionnaire, Ri 20-7 Information Necessary For A Competency Determination, Ri 30-3

IC 156934 under ICR 199101-3206-002 · OMB 3206-0140.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	REPRESENTATIVE PAYEE QUESTIONNAIRE, RI 20-7 INFORMATION NECESSARY FOR A COMPETENCY DETERMINATION, RI 30-3	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

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	RI 20-7				No	No
Form	RI 30-3				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,480	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	3,050	3,050
Annual IC Time Burden (Hours)	4,410	4,410
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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