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: 201406-0960-009
Status: Historical Active	Previous ICR Reference No: 201205-0960-005
Agency/Subagency: SSA	Agency Tracking No:
Title: Electronic Records Express Third-Party
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: 11/07/2014
	Date Received in OIRA: 10/06/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2017	36 Months From Approved	09/30/2015
Responses	3,372,000	0	2,547,000
Time Burden (Hours)	56,200	0	42,450
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	3,372,000	2,547,000	825,000
Annual Time Burden (Hours)	56,200	42,450	13,750
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 increase in the burden hours is due to an increase in the number of users accessing this information electronically through ERE. We anticipate further increases as more third party appointed representatives choose to obtain this information electronically through ERE.

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