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Representative Payee Report-Special Veterans Benefits
Representative Payee Report-Special Veterans Benefits
OMB: 0960-0621
IC ID: 43708
OMB.report
SSA
OMB 0960-0621
ICR 201803-0960-009
IC 43708
( )
Documents and Forms
Document Name
Document Type
Form SSA-2001-F6
Representative Payee Report-Special Veterans Benefits
Form
0621 Revised Privacy Act Statement.docx
Other-Privacy Act Statement (revised
SSA-2001-F6 Representative Payee Report - Special Veterans Benefits
SSA-2001-F6 (revised).pdf
Form
SSA-2001-F6 (current).pdf
Current SSA-2001-F6
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Representative Payee Report-Special Veterans Benefits
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
20 CFR 408.665
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
SSA-2001-F6
Representative Payee Report - Special Veterans Benefits
SSA-2001-F6 (revised).pdf
No
Paper Only
Other-Privacy Act Statement (revised)
0621 Revised Privacy Act Statement.docx
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Income Security
Subfunction:
General Retirement and Disability
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
16
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
16
0
-34
0
0
50
Annual IC Time Burden (Hours)
5
0
-3
0
0
8
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Current SSA-2001-F6
SSA-2001-F6 (current).pdf
04/25/2018
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.