NO CREDIT FOR A
PROGRAM CHANGE IS GRANTED SINCE THE PREVIOUS INCREASE IN BURDEN
WAS, AT HHS REQUEST, COUNTED AS AN ADJUSTMENT.
Inventory as of this Action
Requested
Previously Approved
04/30/1988
04/30/1988
08/31/1985
605,000
0
1,800,000
100,833
0
302,500
0
0
0
THE INFORMATION COLLECTED BY THE USE
OF THIS FORM IS NEEDED TO DETERMI THE PROPER PAYEE FOR A PERSON WHO
RECEIVES SOCIAL SECURITY BENEFITS WHENM A DETERMINATION HAS BEEN
MADE THAT SUCH PERSON CANNOT BE RESPONSIBLE FOR HIS OR HER OWN
BENEFITS. THIS INFORMATION WILL BE USED TO SELECT THE PROPER PAYEE
IN THOSE CASES AND THE FORM WILL BE COMPLETED BNY ALL PROSPECTIVE
PAYEES.
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.