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:
0960-0462
ICR Reference No:
200808-0960-010
Status:
Historical Active
Previous ICR Reference No:
200609-0960-003
Agency/Subagency:
SSA
Agency Tracking No:
Title:
You Can Make Your Payment by Credit Card
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:
05/14/2009
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/27/2009
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2012
36 Months From Approved
12/31/2009
Responses
40,000
0
60,000
Time Burden (Hours)
3,625
0
5,000
Cost Burden (Dollars)
0
0
0
Abstract:
SSA uses the information on Forms SSA4588 and SSA4589 to update an individuals Social Security record to reflect payments made on their overpayment and to effect payment through the appropriate credit card company. SSA is modifying the Form SSA4588 to include a recurring credit card payment option to allow individuals to authorize automatic monthly payments. SSA sends out the SSA4588 with initial overpayment notices, which inform individuals that SSA has detected an overpayment. Individuals may choose to make a one-time payment or recurring monthly payments by completing and submitting the SSA4588. SSA uses the Form SSA4589 only when individuals choose to call the Program Service Centers to make payments in lieu of completing the Form SSA4588. An SSA Debtor Contact Representative completes Form SSA4589 when a debtor calls to make a payment by telephone. The Debtor Contact Representative also uses the information from Form SSA4589 to make recurring monthly payments via telephone call with the debtor. Respondents are Title II beneficiaries and Title XVI recipients who have outstanding overpayments.
Authorizing Statute(s):
US Code:
42 USC 405
US Code:
42 USC 1383
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:
73 FR 73377
12/02/2008
30-day Notice:
Federal Register Citation:
Citation Date:
74 FR 7506
02/17/2009
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
2
IC Title
Form No.
Form Name
You Can Make Your Payment by Credit Card--SSA-4588
SSA-4588
You Can Make Your Payment By Credit Card
You Can Make Your Payment by Credit Card--SSA-4589
SSA-4589
You Can Make Your Payment by Credit Card
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
40,000
60,000
0
-14,000
-6,000
0
Annual Time Burden (Hours)
3,625
5,000
0
-375
-1,000
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:
Yes
Burden Reduction Due to:
Cutting Redundancy
Short Statement:
SSA is reducing the burden for this ICR. Previously SSA reported the number of responses per year as 60,000. This number was based on the fact that each respondent needed to fill out one of the forms on a monthly basis. However, SSA is revising the forms to add an option for recurring payment which will alleviate the need for the respondents to fill out the form more than once. Due to this change, SSA has greatly reduced the number of yearly responses for these forms. Also, prior to ROCIS, SSA was unable to show the separate time estimates for each form. Because ROCIS now allows us to separate the two forms, we are reporting the burdens per form separately; therefore, the burden estimate is more accurate.
Annual Cost to Federal Government:
$184,800
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)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
John Biles 410 965-3758 John.Biles@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:
03/27/2009