View Information Collection Request (ICR) Package

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: 0960-0767	ICR Reference No: 200708-0960-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: Electronic Records Express Third-Party Registration Form
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 without change	Conclusion Date: 02/22/2008
	Date Received in OIRA: 01/20/2008
Terms of Clearance: This ICR is approved; however, pursuant to the GPEA, SSA shall develop an electronic version of this form upon next submission if more than 50,000 responses are expected. The current estimate for this submission is almost 80,000 responses annually. An electronic version of such a high-demand form would minimize burden to the public, particularly since users of this form are registering to use a fully-electronic platform (the ERE).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2011	36 Months From Approved
Responses	78,344	0	0
Time Burden (Hours)	3,917	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	78,344	78,344
Annual Time Burden (Hours)	3,917	3,917
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden is changing due to the implementation of ERE, a new electronic initiative which third party representatives need to register to access.

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