View Information Collection Request (ICR) Package
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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:
0960-0105
ICR Reference No:
200711-0960-004
Status:
Historical Active
Previous ICR Reference No:
200509-0960-004
Agency/Subagency:
SSA
Agency Tracking No:
Title:
Advanced Notice of Termination of Child's Benefits, and Student's Statement Regarding School Attendance
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
04/03/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/06/2008
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2011
36 Months From Approved
11/30/2008
Responses
200,000
0
200,000
Time Burden (Hours)
36,666
0
33,333
Cost Burden (Dollars)
0
0
0
Abstract:
The information collected on Forms SSA-1372-BK and SSA-1372-BK-FC is needed to determine whether children of an insured worker are eligible for student benefits. The data allows SSA to determine student entitlement and whether entitlement will end. The respondents are student claimants for Social Security benefits, their respective schools and, in some cases, their representative payees.
Authorizing Statute(s):
US Code:
42 USC 402
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
72 FR 59133
10/18/2007
30-day Notice:
Federal Register Citation:
Citation Date:
73 FR 1253
01/07/2008
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
SSA-1372-BK (Domestic)--Individuals/Households
SSA-1372-BK
Advanced Notice of Termination of Child's Benefits
SSA-1372-BK (Domestic)--State/Local/Tribal Government
SSA-1372-BK
Advanced Notice of Termination of Child's Benefits
SSA-1372-BK-FC (Foreign Claims)--State/Local/Tribal Government
SSA-1372-BK-FC
Student's Statement Regarding School Attendance
SSA-1372-FC (Foreign Claims)--Individuals/Households
SSA-1372-BK-FC
Student's Statement Regarding School Attendance
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
200,000
200,000
0
0
0
0
Annual Time Burden (Hours)
36,666
33,333
0
3,333
0
0
Annual Cost Burden (Dollars)
0
0
0
0
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 increase in the public reporting burden from 33,333 to 36,666 is due to an increase in the average burden per response by one minute. SSA is now asking the respondents to annotate the students expected graduation date to the page of the form that the school official keeps for future reporting purposes. SSA estimates that it may take up to one minute for the school official to complete that extra step. Also, the other changes in the burden are due to conversion of this ICR to ROCIS. Prior to ROCIS we were unable to split this ICR into it's component ICs. Through ROCIS we have created four ICs in order to show both the burden per respondent type and per form.
Annual Cost to Federal Government:
$1,232,000
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:
02/06/2008
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