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:
0960-0566
ICR Reference No:
201905-0960-005
Status:
Historical Active
Previous ICR Reference No:
201809-0960-005
Agency/Subagency:
SSA
Agency Tracking No:
Title:
Privacy and Disclosure of Official Records and Information; Availability of Information and Records to the Public
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
05/05/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/04/2019
Terms of Clearance:
The agency provided additional clarification regarding the description of the information collection's operation and burden.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2025
36 Months From Approved
05/31/2022
Responses
3,028,870
0
3,028,510
Time Burden (Hours)
159,139
0
159,134
Cost Burden (Dollars)
0
0
0
Abstract:
Under the Privacy and Disclosure of Official Records and Information, SSA has established methods in which the public can request the following: access to their SSA records; disclosure of SSA records; corrections/amendments to their SSA records; consent for release of records; records accessible through the Freedom of Information Act (FOIA); and waiver/reduction of fees normally charged for release of FOIA records. SSA most often collected the required information for these requests through a written letter, with the exception of the consent for release of records for which there is the Form SSA-3288. Respondents are individuals requesting access to, correction of, or disclosure of SSA records.
Authorizing Statute(s):
US Code:
5 USC 552a
Name of Law: The Privacy Act of 1974
US Code:
5 USC 552
Name of Law: The Freedom of Information 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:
84 FR 31972
07/03/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 48694
09/16/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
a. Access to Records - 20 CFR 401.40(b)&(c) & 401.45
b. Designating a Representative For Disclosure - 401.55(b)
c. Amendment of Records - 20 CFR 401.65(a)
d. Consent of Release of Records - 20 CFR 401.100(a)&(b) - SSA-3288
SSA-3288
Consent for Release of Information
e. FOIA Requests for Records - 20 CFR 402.130
f. Waiver/Reduction of Fees - 20 CFR 402.185
f. Respondents who request access to an extract of their SSN record
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
3,028,870
3,028,510
0
360
0
0
Annual Time Burden (Hours)
159,139
159,134
0
5
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
When we last cleared this IC in 2016, the burden was 159,134. However, we are currently reporting a burden of 159,138 hours. This change stems from a decrease in the number of responses for a waiver or reduction of fees, from 400 to 0, as we no longer take these requests. In addition, the burden change stems from an increase in the number of responses for consent of release of records (SSA-3288), from 3,000,010 to 3,000,760, due to a demonstration project. There is no change to the burden time per response. Although the number of responses for the SSA 3288 changed, SSA did not take any actions to cause this change.
Annual Cost to Federal Government:
$1,120,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
Yes
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
Yes
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?
No
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:
10/04/2019
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