View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0960-0502	ICR Reference No: 202207-0960-006
Status: Historical Active	Previous ICR Reference No: 201903-0960-005
Agency/Subagency: SSA	Agency Tracking No:
Title: Beneficiary Recontact Report
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: 04/29/2024
	Date Received in OIRA: 10/03/2022
Terms of Clearance: The agency revised the Supporting Statement A to provide more detail regarding the purpose of the collection.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	36 Months From Approved	04/30/2024
Responses	72,565	0	76,944
Time Burden (Hours)	6,047	0	6,412
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	72,565	76,944	-4,379
Annual Time Burden (Hours)	6,047	6,412	-365
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 2019, the burden was 6,412 hours. However, we are currently reporting a burden of 6,047 hours. This change stems from a decrease in the number of responses from 76,944 to 72,565. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change.

Annual Cost to Federal Government: $73,649

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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