Representative Payment Policies and Administrative Procedures for Imposing Penalties for False or Misleading Statements or Withholding of Information

Forms and Documents

Document Name	Status
Supporting Statement - 0740.docx Supporting Statement A	2019-01-25

IC Document Collections

IC ID	Document Title	Status
45746	20 CFR 404.2035(f) - Intranet/Field office interview Other-Sample in-office screen shots	Modified
45745	20 CFR 404.2035(d) - Intranet/Field Office Interview Other-Sample in-office screen shots	Modified
45744	20 CFR 416.635(f)	Modified
45743	20 CFR 416.635(d)	Modified
45740	20 CFR 404.2035(f)	Modified
45739	20 CFR 404.2035(d)	Modified
191381	20 CFR 416.635(f) - Intranet/Field Office Interview Other-Sample in-office screen shots	Modified
191380	20 CFR 416.635(d) - Intranet/Field office interview Other-Sample in-office screen shots	Modified

ICR Details

OMB Control No: 0960-0740	ICR Reference No: 201810-0960-007
Status: Active	Previous ICR Reference No: 201508-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Representative Payment Policies and Administrative Procedures for Imposing Penalties for False or Misleading Statements or Withholding of Information
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: 03/26/2019
	Date Received in OIRA: 01/25/2019
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for three years.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2022	36 Months From Approved	03/31/2019
Responses	913,739	0	882,840
Time Burden (Hours)	76,147	0	73,570
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request (ICR) comprises several regulation sections which provide additional safeguards for Social Security beneficiaries whose representative payees receive their payments. SSA requires representative payees to notify us of any event or change in circumstances that would affect receipt of benefits or performance of payee duties. SSA uses the information to determine continued eligibility for benefits, the amount of benefits due, and if the payee is suitable to continue servicing as payee. The respondents are representative payees who receive and use benefits on behalf of Social Security recipients.

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Authorizing Statute(s): PL: Pub.L. 108 - 123 101-420 Name of Law: Social Security Protection Act
   US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 1007 Name of Law: Social Security Act
   US Code: 42 USC 1383 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: PL: Pub.L. 108 - 123 101-420 Name of Law: Social Security Protection Act

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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:
	83 FR 56133	11/09/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 371	01/25/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

IC Title	Form No.	Form Name
20 CFR 416.635(f) - Intranet/Field Office Interview
20 CFR 416.635(d)
20 CFR 416.635(f)
20 CFR 404.2035(d) - Intranet/Field Office Interview
20 CFR 404.2035(f) - Intranet/Field office interview
20 CFR 404.2035(f)
20 CFR 404.2035(d)
20 CFR 416.635(d) - Intranet/Field office interview

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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	913,739	882,840	0	30,899	0	0
Annual Time Burden (Hours)	76,147	73,570	0	2,577	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: No

Burden Reduction Due to:

Short Statement: When we last cleared this IC in 2015, the burden was 73,570 hours. However, we are currently reporting a burden of 76,147 hours. This change stems an increase in the number of responses from 882,840 to 913,739. 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.

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Annual Cost to Federal Government: $1,175,760

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? 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: 01/25/2019

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