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OMB Control No: 0960-0816	ICR Reference No: 201911-0960-006
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: The Strengthening Protections for Social Security Beneficiaries Act of 2018, Section 103(b) Questionnaire
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/24/2020
	Date Received in OIRA: 11/22/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2023	36 Months From Approved
Responses	57	0	0
Time Burden (Hours)	11	0	0
Cost Burden (Dollars)	0	0	0

Abstract: SSA pays monthly benefits to members of the public who qualify under the Old Age, Survivors, and Disability Insurance (OASDI) program and who are eligible for the Supplemental Security Income (SSI) program. Some claimants who qualify for monthly payments under these programs are unable to manage their benefit payments. When SSA deems program participants incapable of managing, or directing the management of their benefits, SSA sends the payments to a representative payee on the beneficiary’s behalf. The representative payee is a person or organization designated by SSA to manage OASDI or SSI payments to meet the individual’s basic needs, such as food, clothing, and shelter. To help ensure that appointed representatives are acting in the best interests of the claimants whom they represent, Section 103(b) of the Strengthening Protections for Social Security Beneficiaries Act (SPSSBA), Pub. L. 115-165, requires SSA to assess the administrative feasibility of improving information sharing about claimants with representative payees, with State agencies that provide Adult Protective Services. Specifically, Section 103(b) of the SPSSBA asks us to evaluate the following: The assessment of an individual’s need for a representative payee in connection with benefits to which the individual is entitled under Title II or Title XVI of the Social Security Act; and Oversight of the individuals and organizations who are serving as representative payees. To conduct this evaluation, SSA created the Strengthening Protections for Social Security Beneficiaries Act of 2018, Section 103(b) Questionnaire. The Questionnaire will assess the representative payee data available from each State and determine if the State is willing to share the data it collects. We will email this one-time questionnaire to State agencies or non-governmental entities that provide Adult Protective Services, and let them know that participation in the questionnaire is voluntary. We estimate we will receive one response per respondent, and one respondent per agency. We expect to complete this study by June 30, 2022, so we can submit the required report to the Committee on Ways and Means of the House of Representatives and the Committee on Finance of the Senate in accordance with the SPSSBA. The Respondents are State agencies and non-governmental entities that provide Adult Protective Services to disability claimants under our OASDI and SSI programs.

Authorizing Statute(s): PL: Pub.L. 115 - 165 103(b) Name of Law: The Strengthening Protections for Social Security Beneficiaries Act of 2018

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 48203	09/12/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 64177	11/20/2019
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	57	57
Annual Time Burden (Hours)	11	11
Annual Cost Burden (Dollars)	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: No

Burden Reduction Due to:

Short Statement: This new information collection increases the public reporting burden. See #12 for the burden figures.

Annual Cost to Federal Government: $4,267

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? Uncollected

Agency Contact: Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

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