Representative Payment Policies and Administrative Procedures for Final Rules for Imposing Penalties for False or Misleading Statements or Withholding of Information

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SSA-2422F.pdf	Supplementary Document	Uploaded 2006-10-23	Available
ssa-2422p supporting statement final rule[1].doc	Supporting Statement A	Uploaded 2006-10-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45746	20 CFR 416.635(f)		New
45745	20 CFR 416.635(e) and 416.665		New
45744	20 CFR 416.635(d)		New
45743	20 CFR 404.2035(f)		New
45740	20 CFR 404.2035(e), 404.2065, 408.665		New
45739	20 CFR 404.2035(d)		New

ICR Details

OMB Control No: 0960-0740	ICR Reference No: 200610-0960-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: Representative Payment Policies and Administrative Procedures for Final Rules for Imposing Penalties for False or Misleading Statements or Withholding of Information
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/16/2007
	Date Received in OIRA: 10/24/2006
Terms of Clearance: This ICR is approved on the condition that SSA explore ways to allow for electronic submission of these forms/notifications upon next submission.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2010	36 Months From Approved
Responses	858,502	0	0
Time Burden (Hours)	71,258	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: These regulations require representative payees for recipients of SSA benefits to notify SSA of: 1) any event or change in the beneficiary's circumstances which would impact the beneficiary's benefits and 2) any change in the representative payee's circumstances which would impact their ability to fulfill their payee representative duties. Administrative procedures for penalizing false or misleading reports are described. The regulations are being revised due to the Social Security Protection Act. The respondents are representative payees for SSA beneficiaries.

---

Authorizing Statute(s): PL: Pub.L. 108 - 123 101-420 Name of Law: Social Security Protection Act
  

Citations for New Statutory Requirements: PL: Pub.L. 108 - 123 101-420 Name of Law: Social Security Protection Act

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0960-AG09	Final or interim final rulemaking	71 FR 61403	10/18/2006

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
20 CFR 404.2035(f)
20 CFR 416.635(d)
20 CFR 416.635(e) and 416.665
20 CFR 416.635(f)
20 CFR 404.2035(e), 404.2065, 408.665
20 CFR 404.2035(d)

---

ICR Summary of Burden

table that charts list of burden

	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	858,502	0	858,502	0	0	0
Annual Time Burden (Hours)	71,258	0	71,258	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: These regulation sections pose a new burden due to the requirements of the Social Security Protection Act. Please see supporting statement for details.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/24/2006

---