Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA

Forms and Documents

Document Name	Status
Form SSA-7161-OCR-SM Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA Form	Modified
Form SSA-7162-OCR-SM Report to U.S. SSA Form	New
Supporting Statement.doc Supporting Statement A	2007-05-09

IC Document Collections

IC ID	Document Title	Status
8961	Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA Form	Modified
178733	Report to U.S. SSA Form	New

ICR Details

OMB Control No: 0960-0049	ICR Reference No: 200702-0960-004
Status: Historical Active	Previous ICR Reference No: 200603-0960-012
Agency/Subagency: SSA	Agency Tracking No:
Title: Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/13/2007
	Date Received in OIRA: 05/15/2007
Terms of Clearance: Approved for one year only since a plan for making this form electronic was not received, as per previous terms of clearance. Upon resubmission of this form for OMB approval, SSA will either make this form electronically available or provide a plan for when SSA intends to make this form electronically available. Included in that plan should be an explanation of the criteria SSA uses to determine which forms receive priority consideration for electronic conversion. As the respondents to this form reside overseas, this form seems like an especially good candidate for electronic conversion. If it not made available electronically on resubmission, SSA will specifically include an explanation why this form was not considered a priority despite the fact that respondents reside overseas. As this information was requested per previous terms of clearance, future submissions that omit this information will be returned as improperly submitted.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2008	36 Months From Approved	08/31/2007
Responses	266,500	0	257,000
Time Burden (Hours)	27,208	0	26,417
Cost Burden (Dollars)	0	0	0

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Abstract: SSA needs the information on Form SSA-7161-OCR-SM to monitor the performance of representative payees outside the U.S. and the information on SSA-7162-OCR-SM to determine continuing entitlement to Social Security benefits and correct benefit amounts for beneficiaries outside the U.S. The respondents are individuals outside the U.S. who are receiving benefits either for someone else, or on their own behalf under Title II of the Social Security Act.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: null
   US Code: 42 USC 403 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 12244	03/15/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 26443	05/09/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA	SSA-7161-OCR-SM	Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA
Report to U.S. SSA	SSA-7162-OCR-SM	Report to U.S. SSA

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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	266,500	257,000	0	9,500	0	0
Annual Time Burden (Hours)	27,208	26,417	0	791	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: There is not a decrease in burden, when we separated the ICs into 2 ICs the system is showing it as a decrease. There is actually an increase in the burden due to the increase of the beneficiary population.

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Annual Cost to Federal Government: $820,820

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 05/15/2007

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