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:
0960-0622
ICR Reference No:
201110-0960-011
Status:
Historical Active
Previous ICR Reference No:
201002-0960-025
Agency/Subagency:
SSA
Agency Tracking No:
Title:
Request for Reconsideration
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
11/03/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/01/2011
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2013
08/31/2013
08/31/2013
Responses
1,461,700
0
1,461,700
Time Burden (Hours)
158,351
0
341,064
Cost Burden (Dollars)
0
0
0
Abstract:
SSA uses Form SSA-561-U2 to document and initiate the reconsideration process for determining eligibility or entitlement to Social Security benefits (Title II), Supplemental Security Income payments (Title XVI), Special Veterans Benefits (Title VIII), Medicare (Title XVIII), and of initial determinations regarding Medicare Part B income-related premium subsidy reductions. If an individual receives a notice of denial of a disability claim and the notice provides the right to reconsideration, the individual will have the option of filing for the reconsideration over the Internet. The individual will complete the appropriate appeal screens and submit the appeal to SSA for processing. The respondents are individuals filing for reconsideration. We are making revisions to the i561 iAppeals application to streamline the process, improve the user experience and lessen the public burden.
Authorizing Statute(s):
PL:
Pub.L. 106 - 169 251(a)
Name of Law: Social Security Act
PL:
Pub.L. 108 - 173 931
Name of Law: Social Security Act
PL:
Pub.L. 103 - 296 105(a)(2)(B)
Name of Law: Social Security Act
US Code:
42 USC 405
Name of Law: Social Security Act
US Code:
42 USC 1009
Name of Law: Social Security Act
US Code:
42 USC 1395ff
Name of Law: Social Security Act
US Code:
42 USC 1395r
Name of Law: Social Security Act
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:
75 FR 15761
03/30/2010
30-day Notice:
Federal Register Citation:
Citation Date:
75 FR 32233
06/07/2010
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
Request for Reconsideration--Internet version (i561)
i561 (Internet Version)
Request for Reconsideration
Request for Reconsideration--Paper and MCS/MSSICS
SSA-561-U2, SSA-561-U2 (MCS Screens), SSA-561-U2 (MSSICS Screens)
Request for Reconsideration
,
Request for Reconsideration
,
Request for Reconsideration
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
1,461,700
1,461,700
0
0
0
0
Annual Time Burden (Hours)
158,351
341,064
0
-182,713
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:
Yes
Burden Reduction Due to:
Cutting Redundancy
Short Statement:
The language updates including streamlining language and deleting pages from the application, causing a significant decrease in the number of burden hours associated with completing the i561.
Annual Cost to Federal Government:
$6,105,942
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]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
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:
Faye Lipsky 410 965-8783 faye.lipsky@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:
11/01/2011
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