approval with
the following conditions: 1)after one year ssa must demonstrate
ssa8011 provides benefits that exceed administrative costs of
collecting the information (costs were estimated by ssa at $1.01
million annually). 2)for purposes of this analysis ssa should
measure benefits as the reduction in overpayments made to
recepients as a result of the information collection on the form.
3)ssa should clarify cost of $1.01 million, i.e. is this the cost
difference between current federal expenditures for field office
information collection and this information collection.
Inventory as of this Action
Requested
Previously Approved
03/31/1989
03/31/1989
600,000
0
0
60,000
0
0
0
0
0
THE INFORMATION COLLECTED BY USE OF
THE FORM SSA-8011 IS NEEDED AND WILL B USED TO DETERMINE THE
EXISTENCE AND AMOUNG OF IN-KIND SUPPORT AND MAINTENANCE RECEIVED BY
AN APPLICANT/RECIPIENT OF SUPPLEMENTAL SECURIT INCOME IN ORDER TO
DETERMINE THE INDIVIDUAL'S ELIGIBILITY AND PAYMENT AMOUNT UNDER
THIS PROGRAM. THE AFFECTED PUBLIC IS COMPRISED OF HOUSEHOLD MEMBERS
OF AN SSI APPLICANT'S/RECIPIENT'S HOUSEHOLD.
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.