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OMB Control No: 0960-0566	ICR Reference No: 202301-0960-001
Status: Historical Active	Previous ICR Reference No: 201905-0960-005
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: 04/14/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/11/2023
Terms of Clearance: The agency made clarifications to its supporting statement to describe the various instruments under the ICR as well as future enhancements. The web-based instrument is approved consistent with the agency’s assertion of this instrument’s compliance with Pub. L. No. 116-50 ("Creating Advanced Streamlined Electronic Services for Constituents Act of 2019’’) and relevant guidance. The agency is encouraged to routinely review its standards to ensure ongoing consistency with P.L. 116-50 and other relevant statutes.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2026	36 Months From Approved	05/31/2025
Responses	3,000,860	0	3,028,870
Time Burden (Hours)	2,954,216	0	159,139
Cost Burden (Dollars)	0	0	0

Abstract: Under the Privacy and Disclosure of Official Records and Information regulations, SSA has established methods in which the public can consent to and authorize the release of records protected under the Privacy Act of 1974, 5 U.S.C. 552a of the United States Code, and request records accessible through the Freedom of Information Act (FOIA), 5 U.S.C. 552. Consent for Release of Records SSA obtains the required consent(s) (with certain exceptions specified by law) from anyone requesting information in SSA systems of records about another individual. We will not release information requested about an individual until we obtain the required consent from that individual. Under the Privacy Act of 1974 (5 U.S.C. 552a(b)), individuals may give SSA written consent to disclose their personal information to a third party of their choosing. In addition, individuals may have multiple needs for the disclosure of their personal information, such as for qualification for a mortgage or preemployment screenings. a. Form SSA-3288 (Consent for Release of Information): Form SSA-3288, is SSA’s preferred paper form for requests for disclosure of information based on the consent of the subject of the record. Respondents can download the SSA-3288 from ssa.gov/forms, obtain a copy at a local SSA field office, or request SSA mail a copy to them directly. Use of this form ensures compliance with SSA consent regulations at 20 CFR 401.100. SSA also collects consent on other writings, including non-SSA forms often used by large employers, that incorporate SSA-approved consent language. b. Form SSA-3288-OP1 (Consent for Disclosure of Records Protected Under the Privacy Act): The Form SSA-3288-OP1 will comply with the CASES Act, OMB M-21-04, and SSA consent regulations at 20 CFR 401.100. The CASES Act directed OMB to develop templates for, among other things, electronic consents for SSA to disclose records protected by the Privacy Act of 1974 to third parties. OMB implemented that statutory directive in memorandum M-21-04. SSA developed the SSA-3288-OP1 pursuant to the CASES Act and M-21-04. The public will access the webform application that populates Form SSA-3288-OP1 on the Internet by selecting the ‘‘Electronic Request for Consent to Disclose’’ link which will be posted at www.ssa.gov/privacy. The respondents are individuals consenting to, authorizing, and requesting SSA disclosure of records protected by the Privacy Act of 1974 to third parties.

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	3,000,860	3,028,870	-18,010	-10,000
Annual Time Burden (Hours)	2,954,216	159,139	37,796	2,757,281
Annual Cost Burden (Dollars)	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 May 2022, the burden was 159,139. However, we are currently reporting a burden of 253,443 hours. This change stems from the following revisions: • An increase in the average burden per response (minutes) for Form SSA-3288, from 3 minutes to 5 minutes; • The addition of the new CASES Act compatible webform application, SSA-3288-OP1 which increases the public reporting burden, as our usability testing showed it takes an average of 10 minutes for respondents to read the instructions, gather the information, and complete the webform online. Which is five minutes more than the average burden for our paper SSA-3288. • The removal of the individual information collections (ICs) for Access to Records, Designating a Representative for Disclosure, FOIA Requests for Records, and Respondents Who Request Access to an Extract of their SSN Record. We removed these as we account for them under the IC for the SSA-3288 paper form. * Note: The total burden reflected in ROCIS is 2,954,216, while the burden cited in #12 of the Supporting Statement is 253,443. This discrepancy is because the ROCIS burden reflects the following components: field office waiting time + a rough estimate of a 30 minute, one-way, drive burden. In contrast, the chart in #12 of the Supporting Statement reflects actual burden.

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