Information Collection

iRPA: Internet Representative Payee Report

IC 185842 under ICR 201702-0960-006 · OMB 0960-0068.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0068 can be found here:

Documents and Forms

Document Name Document Type
iRPA screen shots - Revised.pdf www.socialsecurity.gov Other-Online application
iRPA screen shots - Current.pdf Current iRPA Screens IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	iRPA: Internet Representative Payee Report	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 404.2035 20 CFR 404.2065 20 CFR 416.665 20 CFR 404.635

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Online application			iRPA screen shots - Revised.pdf	www.socialsecurity.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 650,195	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	650,195	195	650,000
Annual IC Time Burden (Hours)	162,549	49	162,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Current iRPA Screens	iRPA screen shots - Current.pdf	04/12/2017

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