Consent-Based Social Security Number Verification Service (CBSV)

Forms and Documents

Document Name	Status
Form SSA-89 Completing Form SSA-89 Form	Modified
Form SSA-89 Storing Consent Forms Form	Unchanged
0960-0760_Justification_for_Non-Substantive_Changes[1].doc Justification for No Material/Nonsubstantive Change	2013-05-20

IC Document Collections

IC ID	Document Title	Status
198246	Dispute Resolution Other-User Agreement Dispute Resolution	Unchanged
198245	Cancellation of Agreement Other-User Agreement Notice Cancellation	Unchanged
198244	Reporting Changes in Users' Status Other-User Agreement Data Exchange Activities	Unchanged
198243	Reporting Issues Encountered on Web Service Testing Other-User Agreement Data Exchange Activities	Unchanged
198179	Web Service Transactions for ETE User Agreement for CBSV Other-User Agreement Data Exchange Activities	Unchanged
198097	Registration User Agreement for External Testing Environment for CBSV Web Services Other-User Agreement	Unchanged
181578	CPA Compliance Review and Report Other-See Attachment E in User Agreement	Modified
181577	Responding to CPA Re-Contact Other-See Attachment E of the User Agreement	Modified
181576	Completing Form SSA-89 Form	Modified
181575	Compliance Review Activities Instruction	Modified
181574	Storing Consent Forms Form	Unchanged
181573	Using System to Upload Request Files, Check Status, Download Results Instruction	Unchanged
181572	Creation of SSN Requests, Data Entry, Documentation Maintenance Etc. Instruction	Modified
181571	Registration Process Other-Section 2 of User Guide	Modified

ICR Details

OMB Control No: 0960-0760	ICR Reference No: 201305-0960-008
Status: Historical Active	Previous ICR Reference No: 201206-0960-009
Agency/Subagency: SSA	Agency Tracking No:
Title: Consent-Based Social Security Number Verification Service (CBSV)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/29/2013
	Date Received in OIRA: 05/28/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	03/31/2014	03/31/2014
Responses	1,110,000	0	1,110,000
Time Burden (Hours)	148,192	0	148,192
Cost Burden (Dollars)	4,035,325	0	4,035,325

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Abstract: SSA is revising language for the CBSV User Agreement and related collection instrument SSA-89. Changes reflect language clarifications of agency contracting guidelines and clarification of instructions on handling and safeguarding personally identifiable information. This change does not affect the public burden. SSA developed CBSV in response to multiple requests from the business community. CBSV is a fee-for-service process which allows SSA to process high volumes of SSN verifications that companies need for business purposes. Since this is not required by law but is being provided as a service, businesses will incur the costs of CBSV. The respondents are companies requesting SSN verifications from SSA as part of their business process.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 1306 Name of Law: Social Security Act
  

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:
	75 FR 45190	08/02/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 70339	11/17/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

IC Title	Form No.	Form Name
Dispute Resolution
Cancellation of Agreement
Using System to Upload Request Files, Check Status, Download Results
CPA Compliance Review and Report
Creation of SSN Requests, Data Entry, Documentation Maintenance Etc.
Registration Process
Storing Consent Forms	SSA-89	Authorization for SSA to Release SSN Verification
Compliance Review Activities
Completing Form SSA-89	SSA-89	Authroiztion for the Social Security Administration to Release SSN Verification
Responding to CPA Re-Contact
Web Service Transactions for ETE User Agreement for CBSV
Reporting Changes in Users' Status
Reporting Issues Encountered on Web Service Testing
Registration User Agreement for External Testing Environment for CBSV Web Services

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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	1,110,000	1,110,000	0	0	0	0
Annual Time Burden (Hours)	148,192	148,192	0	0	0	0
Annual Cost Burden (Dollars)	4,035,325	4,035,325	0	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:

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Annual Cost to Federal Government: $0

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]? 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? 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: 05/28/2013

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