OMB control number

Representative Payee Report (Adult, Child, and Organizational Representative Payee)

OMB 0960-0068 · SSA.

OMB 0960-0068

When SSA determines it is not in an Old Age Survivors and Disability Insurance (OASDI), or Supplemental Security Income (SSI) recipient’s best interest to receive Social Security payments directly, the agency will designate a representative payee for the recipient. The representative payee can be: (1) a family member; (2) a non-family member who is a private citizen and is acquainted with the beneficiary; (3) an organization; (4) a state or local government agency; or (5) a business. In the capacity of representative payee, the person or organization receives the SSA recipient’s payment directly, and manages these payments. The respondents are representative payees of OASDI and SSI recipients.

The latest form for Representative Payee Report (Adult, Child, and Organizational Representative Payee) expires 2027-07-31 and can be found here.

All Historical Document Collections
Revision of a currently approved collection 2020-08-27
Approved without change
No material or nonsubstantive change to a currently approved collection 2019-02-01
Approved without change
No material or nonsubstantive change to a currently approved collection 2018-03-30
Approved with change
Revision of a currently approved collection 2017-05-17
Approved without change
Revision of a currently approved collection 2014-06-25
Approved without change
Revision of a currently approved collection 2011-06-24
Approved without change
Revision of a currently approved collection 2008-07-31
Approved without change
Revision of a currently approved collection 2007-01-26
Approved without change
Extension without change of a currently approved collection 2005-02-07
Approved without change
Revision of a currently approved collection 2001-12-17
Approved without change
Extension without change of a currently approved collection 1998-09-10
Approved without change
Revision of a currently approved collection 1997-06-04
Approved without change
Revision of a currently approved collection 1994-03-08
Approved without change
Revision of a currently approved collection 1992-02-06
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-09-08
Approved without change
Revision of a currently approved collection 1989-01-27
Approved without change
Revision of a currently approved collection 1986-09-08
Approved with change
No material or nonsubstantive change to a currently approved collection 1986-05-27
Approved with change
No material or nonsubstantive change to a currently approved collection 1985-08-15
Approved with change
No material or nonsubstantive change to a currently approved collection 1984-08-02
Approved with change
No material or nonsubstantive change to a currently approved collection 1984-05-21
Approved without change
Revision of a currently approved collection 1983-09-22
Approved without change
Revision of a currently approved collection 1983-01-07
Approved without change
Reinstatement with change of a previously approved collection 1982-05-04
Approved without change
Revision of a currently approved collection 1981-10-13
Approved without change
Revision of a currently approved collection 1980-11-04
Approved with change
No material or nonsubstantive change to a currently approved collection 1979-03-28
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-08-01
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-07-05
Approved with change
No material or nonsubstantive change to a currently approved collection 1976-10-21
Approved without change
Extension without change of a currently approved collection 1976-09-17
OMB Details

SSA-623: Representative Payee Report (Adult Beneficiaries)

Federal Enterprise Architecture: Income Security - General Retirement and Disability

Form SSA-623Representative Payee Report (Adult)Fillable PrintableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.