SSA WILL
RESUBMIT THIS FORM FOR OMB REVIEW WITHIN 60 DAYS OF A PUBLIC LAW
CHANGE CONCERNING THE AUTHORIZATION TIME LIMIT.
Inventory as of this Action
Requested
Previously Approved
11/30/1987
11/30/1987
03/31/1985
650,000
0
650,000
65,000
0
65,000
0
0
0
THE INFORMATION COLLECTED BY THE USE
OF FORM SSA-4641 IS NEEDED TO DETERMINE WHETHER RESOURCE
REQUIREMENTS ARE MET IN THE SUPPLEMENTAL SECURITY INCOME (SSI) AND
AID TO FAMILIES WITH DEPENDENT CHILDREN (AFD PROGRAMS. THE AFFECTED
PUBLIC IS COMPRISED OF FINANCIAL INSTITUTIONS WHICH VERIFY THE
RESOURCES OF AN INDIVIDUAL WHO FILES AN APPLICATION FOR AFDC SSI
PAYMENTS AND WHO MAY HAVE EXCESS RESOURCES.
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.