View Information Collection Request (ICR) Package
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Brief and OIRA conclusion
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Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0960-0740
ICR Reference No:
200610-0960-002
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
SSA
Agency Tracking No:
Title:
Representative Payment Policies and Administrative Procedures for Final Rules for Imposing Penalties for False or Misleading Statements or Withholding of Information
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
01/16/2007
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/24/2006
Terms of Clearance:
This ICR is approved on the condition that SSA explore ways to allow for electronic submission of these forms/notifications upon next submission.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
01/31/2010
36 Months From Approved
Responses
858,502
0
0
Time Burden (Hours)
71,258
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
These regulations require representative payees for recipients of SSA benefits to notify SSA of: 1) any event or change in the beneficiary's circumstances which would impact the beneficiary's benefits and 2) any change in the representative payee's circumstances which would impact their ability to fulfill their payee representative duties. Administrative procedures for penalizing false or misleading reports are described. The regulations are being revised due to the Social Security Protection Act. The respondents are representative payees for SSA beneficiaries.
Authorizing Statute(s):
PL:
Pub.L. 108 - 123 101-420
Name of Law: Social Security Protection Act
Citations for New Statutory Requirements:
PL: Pub.L. 108 - 123 101-420 Name of Law: Social Security Protection Act
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0960-AG09
Final or interim final rulemaking
71 FR 61403
10/18/2006
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
20 CFR 404.2035(d)
20 CFR 404.2035(e), 404.2065, 408.665
20 CFR 404.2035(f)
20 CFR 416.635(d)
20 CFR 416.635(e) and 416.665
20 CFR 416.635(f)
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
858,502
0
858,502
0
0
0
Annual Time Burden (Hours)
71,258
0
71,258
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
These regulation sections pose a new burden due to the requirements of the Social Security Protection Act. Please see supporting statement for details.
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Elizabeth Davidson 411-965-0454 liz.davidson@ssa.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
10/24/2006
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