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: 0960-0730	ICR Reference No: 200902-0960-003
Status: Historical Active	Previous ICR Reference No: 200607-0960-001
Agency/Subagency: SSA	Agency Tracking No:
Title: Identifying Information for Possible Direct Payment of Authorized Fees
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: 07/09/2009
	Date Received in OIRA: 06/01/2009
Terms of Clearance: This form is approved for one year only. SSA plan to introduce a new system from Spring 2010, which will enable information to be filled out online and will not require respondents to provide their social security number. This form will be discontinued at that point.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2010	36 Months From Approved	08/31/2009
Responses	400,000	0	250,000
Time Burden (Hours)	66,667	0	41,667
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	400,000	250,000	150,000
Annual Time Burden (Hours)	66,667	41,667	25,000
Annual Cost Burden (Dollars)	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: The public reporting burden hours increased from 41,667 to 66,667, and the number of respondents increased from 250,000 to 400,000. This increase of burden hours is because each claim for direct fee payment has a SSA-1695 completed, and rapid growth of representation workload.

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.