View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0097	ICR Reference No: 202012-0960-007
Status: Historical Active	Previous ICR Reference No: 201706-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Application for Search of Census Records for Proof of Age
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: 07/27/2021
	Date Received in OIRA: 01/28/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2024	36 Months From Approved	07/31/2021
Responses	15	0	18,030
Time Burden (Hours)	11	0	3,606
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	15	18,030	-18,015
Annual Time Burden (Hours)	11	3,606	-3,595
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: When we last cleared this IC in 2017, the burden was 3,606 hours. However, we are currently reporting a burden of 3 hours. This change stems from a decrease in the number of responses from 18,030 to 15. Over the past several years, hospitals have been automatically reporting births to the state and generating birth certificates. In addition, SSA streamlined the proof of age policy so we are able to use the information previously established within our systems. Both of these actions significantly reduced the need for applicants to provide proof of age. There is no change to the burden time per response. These figures represent current Management Information data. In addition, we added 8 burden hours to the IC for estimated travel time to a field office as per the current request from OIRA.

Annual Cost to Federal Government: $910

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

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