Representative Payee Survey

OMB 3206-0208

OMB 3206-0208

RI 38-115 is designed to collect information about how the benefits paid to a representative payee have been used or conserved for the benefit of the incompetent annuitant. There are editorial changes to the Privacy Act Statement (PAS).

The latest form for Representative Payee Survey expires 2021-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material
Document
Name
Form and Instruction
Supplementary Document
Supporting Statement A
All Historical Document Collections
 Reinstatement with change of a previously approved collection 2025-12-17
Approved without change
 No material or nonsubstantive change to a currently approved collection 2022-09-22
Approved without change
 Revision of a currently approved collection 2021-06-29
Approved with change
 Revision of a currently approved collection 2018-04-24
Approved without change
 Extension without change of a currently approved collection 2017-06-13
Approved without change
 Extension without change of a currently approved collection 2014-05-14
Approved without change
 Extension without change of a currently approved collection 2011-06-13
Approved without change
 Revision of a currently approved collection 2010-05-04
Approved without change
 No material or nonsubstantive change to a currently approved collection 2008-07-18
Approved without change
 Extension without change of a currently approved collection 2007-05-24
Approved without change
 Revision of a currently approved collection 2004-02-27
Approved without change
 Revision of a currently approved collection 2001-05-04
Approved without change
 Extension without change of a currently approved collection 1998-02-11
Approved without change
 Extension without change of a currently approved collection 1995-01-27
Approved without change
 New collection (Request for a new OMB Control Number) 1992-05-08
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