REPORT TO U.S. SOCIAL SECURITY ADMINISTRATION BY PERSON RECEIVING BENEFITS FOR A CHILD OR ADULT UNABLE TO HANDLE FUNDS - SSA-7161, REPORT TO U.S. SSA, SSA-7162
ICR 198612-0960-006
OMB: 0960-0049
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0960-0049 can be found here:
REPORT TO U.S. SOCIAL
SECURITY ADMINISTRATION BY PERSON RECEIVING BENEFITS FOR A CHILD OR
ADULT UNABLE TO HANDLE FUNDS - SSA-7161, REPORT TO U.S. SSA,
SSA-7162
THE INFORMATION COLLECTED BY THIS FORM
IS NEEDED BY SSA TO DETERMINE CONTINUING ENTITLEMENT TO BENEFITS
AND THE AMOUNTS RECEIVED BY BENEFICIARIES WHO LIVE OUTSIDE THE U.S.
AND HAVE REPRESENTATIVE PAYEES. PAYEE ACCOUNTING INFORMATION IS
NEEDED TO COMPLY WITH THE DISABILITY REFORM ACT OF 1984. THE
AFFECTED PUBLIC CONSISTS OF SOCIAL SECURITY BENEFICIARIES WHO MEET
THE ABOVE CRITERIA.
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.