Statement for determining continuing eligibility for Supplemental Security Income Payments, 20 CFR 416.204

ICR 200607-0960-020

OMB: 0960-0416

Federal Form Document

Forms and Documents
ICR Details
0960-0416 200607-0960-020
Historical Active 200409-0960-009
SSA
Statement for determining continuing eligibility for Supplemental Security Income Payments, 20 CFR 416.204
Revision of a currently approved collection   No
Regular
Approved without change 10/23/2006
Retrieve Notice of Action (NOA) 08/25/2006
  Inventory as of this Action Requested Previously Approved
10/31/2009 36 Months From Approved 11/30/2006
171,000 0 900,000
56,394 0 285,000
0 0 0

Form SSA-8203-BK is used in high-error probability (HEP) redeterminations cases to determine whether SSI recipients continue to meet requirements for SSI eligibility, and whether they are receiving the correct payment amount. The information is normally completed in field offices via personal contact using the automated Modernized SSI Claims System (MSSICS). The paper form is used only when a systems limitation prevents the interview from being completed on MSSICS. Respondents are recipient of title XVI SSI benefits.

US Code: 42 USC 1382a Name of Law: null
  
None

Not associated with rulemaking

  71 FR 27016 05/09/2006
71 FR 43270 07/31/2006
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 171,000 900,000 0 -729,000 0 0
Annual Time Burden (Hours) 56,394 285,000 0 -228,606 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The overall public burden for this collection has substantially decreased because SSA is planning to conduct less HEP RZ cases. The reason for this reduction is budgetary. The reduction in work years is a result of a corresponding reduction in number of forms completed. In addition, Signature Proxy is now available to respondents completing the collection which also results in addition time savings.

$11,000,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Elizabeth Davidson 411-965-0454 [email protected]

  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.
08/25/2006


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