You Can Make Your Payment by Credit Card

Forms and Documents

Document Name	Status
Form SSA-4588 You Can Make Your Payment by Credit Card--SSA-4588 Form and Instruction	Modified
Form SSA-4589 You Can Make Your Payment by Credit Card--SSA-4589 Form	New
SSA-4588-OP1 -- Current Version.pdf Supplementary Document	2009-01-27
Supporting Statement--0462 (4-3-09).doc Supporting Statement A	2009-04-03
Addendum--0462 (4-3-09).doc Supplementary Document	2009-04-03

IC Document Collections

IC ID	Document Title	Status
9349	You Can Make Your Payment by Credit Card--SSA-4588 Form and Instruction	Modified
187022	You Can Make Your Payment by Credit Card--SSA-4589 Form	New

ICR Details

OMB Control No: 0960-0462	ICR Reference No: 200808-0960-010
Status: Historical Active	Previous ICR Reference No: 200609-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: You Can Make Your Payment by Credit Card
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: 05/14/2009
	Date Received in OIRA: 03/27/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2012	36 Months From Approved	12/31/2009
Responses	40,000	0	60,000
Time Burden (Hours)	3,625	0	5,000
Cost Burden (Dollars)	0	0	0

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Abstract: SSA uses the information on Forms SSA–4588 and SSA–4589 to update an individual’s Social Security record to reflect payments made on their overpayment and to effect payment through the appropriate credit card company. SSA is modifying the Form SSA–4588 to include a recurring credit card payment option to allow individuals to authorize automatic monthly payments. SSA sends out the SSA–4588 with initial overpayment notices, which inform individuals that SSA has detected an overpayment. Individuals may choose to make a one-time payment or recurring monthly payments by completing and submitting the SSA–4588. SSA uses the Form SSA–4589 only when individuals choose to call the Program Service Centers to make payments in lieu of completing the Form SSA–4588. An SSA Debtor Contact Representative completes Form SSA–4589 when a debtor calls to make a payment by telephone. The Debtor Contact Representative also uses the information from Form SSA–4589 to make recurring monthly payments via telephone call with the debtor. Respondents are Title II beneficiaries and Title XVI recipients who have outstanding overpayments.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: null
   US Code: 42 USC 1383 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:
	73 FR 73377	12/02/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 7506	02/17/2009
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
You Can Make Your Payment by Credit Card--SSA-4589	SSA-4589	You Can Make Your Payment by Credit Card
You Can Make Your Payment by Credit Card--SSA-4588	SSA-4588	You Can Make Your Payment By Credit Card

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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	40,000	60,000	0	-14,000	-6,000	0
Annual Time Burden (Hours)	3,625	5,000	0	-375	-1,000	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: Cutting Redundancy

Short Statement: SSA is reducing the burden for this ICR. Previously SSA reported the number of responses per year as 60,000. This number was based on the fact that each respondent needed to fill out one of the forms on a monthly basis. However, SSA is revising the forms to add an option for recurring payment which will alleviate the need for the respondents to fill out the form more than once. Due to this change, SSA has greatly reduced the number of yearly responses for these forms. Also, prior to ROCIS, SSA was unable to show the separate time estimates for each form. Because ROCIS now allows us to separate the two forms, we are reporting the burdens per form separately; therefore, the burden estimate is more accurate.

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Annual Cost to Federal Government: $184,800

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)? No

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: 03/27/2009

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