Request for Waiver of Overpayment Recovery or Change in Repayment Rate

ICR 202009-0960-007

OMB: 0960-0037

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Unchanged
Supporting Statement A
2020-09-16
Justification for No Material/Nonsubstantive Change
2020-09-16
ICR Details
0960-0037 202009-0960-007
Active 201904-0960-015
SSA
Request for Waiver of Overpayment Recovery or Change in Repayment Rate
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/22/2020
Retrieve Notice of Action (NOA) 09/16/2020
  Inventory as of this Action Requested Previously Approved
11/30/2021 11/30/2021 11/30/2021
1,060,000 0 1,060,000
979,166 0 979,166
0 0 0

When Social Security beneficiaries and Supplemental Security Income (SSI) recipients receive an overpayment, they must request a waiver, or repay the amount of the overpayment. An overpaid individual may use Form SSA-632-BK to request a waiver from repaying the debt. If an individual believes they cannot repay the debt in 36 months, they use Form SSA 634, to inform SSA that they would like to request a different rate of recovery for their overpayment. The respondents must provide financial information to help SSA determine if the agency can wave their overpayment, or to assist SSA in calculating the amount they can afford to repay each month. Respondents are overpaid individuals who are requesting a waiver of recovery of an overpayment, or a lesser rate of withholding. We are submitting this Non-Substantive Change Request as per the PRA section of the Interim Final Rule, Waiver of Recovery of Certain Overpayment Debts Accruing During the COVID–19 Pandemic Period, RIN 0960 AI51, published on August 28, 2020.

US Code: 42 USC 404 Name of Law: Social Security Act
   US Code: 42 USC 1383 Name of Law: Social Security Act
   US Code: 42 USC 1395pp Name of Law: Social Security Act
  
None

Not associated with rulemaking

  83 FR 21328 05/09/2018
83 FR 38441 08/06/2018
No

  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 1,060,000 1,060,000 0 0 0 0
Annual Time Burden (Hours) 979,166 979,166 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The decrease to the burden stems from the creation of a new form, the SSA-634. We created the SSA-634 to help eliminate unnecessary time, paperwork, and confusion when individuals are only requesting a change in the overpayment repayment rate. The burden change stems from two factors: (1) a decrease in the number of respondents for the Regional Application from 44,000 to 30,000, which creates a burden savings of 28,000 hours; and (2) an increase in the respondents for the Internet Instructions from 500,000 to 530,000, which would increase our burden by 2,500 hours. Even though we have an increase in burden for Internet Instructions, the burden hours saved from the decrease in Regional Applications creates our overall burden reduction. 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.

$3,924,997
No
    Yes
    Yes
No
No
No
Yes
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/16/2020


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