Request for Waiver of
Overpayment Recovery or Change in Repayment Rate
Revision of a currently approved collection
No
Regular
10/29/2021
Requested
Previously Approved
36 Months From Approved
11/30/2021
500,000
1,060,000
875,000
979,166
0
0
An overpayment occurs when we pay a
beneficiary or recipient more benefits than they are due for a
given period. When the individual receives the overpaid benefits,
they are responsible for repaying the debt. The information
collected on the SSA-632 BK is mandatory for SSA to determine if we
can waive an overpayment that is $1,000 or more. To determine if an
overpaid individual has the ability to repay the overpayment,
respondents are required to provide authorization for SSA to obtain
their financial account information. A legal guardian must sign the
financial authorization for an adult who is legally incompetent or
if the overpaid individual is a child. In addition, respondents
must provide household expenses, the income for the entire
household, and the assets for all dependent household members. The
respondent may complete this form alone or with help. The
information collected on the SSA-634 is mandatory for SSA to
approve a negotiated monthly rate of withholding that would not
permit recovery of the overpayment within 36 months. SSA employees
will collect this information one-time. An overpaid individual
completes and submits this form along with proofs of their income,
assets, and expenses. The individual may complete this form alone
or with help. Respondents are overpaid individuals who are
requesting a waiver of recovery of an overpayment, or a lesser rate
of withholding.
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
When we last cleared this IC in
2018, the burden was 979,166 hours. However, we are currently
reporting a burden of 875,000 hours. This change stems from a
decrease in the number of responses from 1,060,000 to 500,000.
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. These figures represent current Management Information
data.
$8,195,840
No
Yes
Yes
No
No
No
No
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.
Form SSA-632-BK SSA-632 - Request for Waiver of Overpayment Recovery
Addendum - 0037 (Final).docx
SSA-632 - Request for Waiver of Overpayment Recovery