OMB approves this collection consistent with the e-mail sent by SSA on 6/5/07. As noted in the supporting statement, SSA also agrees to adjust the burden for form SSA-624 (OMB Control No. 0960-0069) accordingly.
Inventory as of this Action
Requested
Previously Approved
06/30/2010
36 Months From Approved
06/30/2007
9,488
0
7,860
4,784
0
2,426
0
0
0
In situations where a Social Security beneficiary is incompetent or physically unable to take care of his or her own affairs, SSA may make payment of Social Security and Supplemental Income (SSI) benefits to a relative, another person, or an organization when the best interest of the beneficiary will be served. In certain situations SSA conducts a site review in order to ensure that payees are carrying out their responsibilities in accordance with representative payment policies and procedures, and enables SSA to identify poor payee performance, uncover misuse and initiate corrective action. Triennial site reviews are conducted for fee-for-service payees and all volume payees (i.e., organizations serving 100 or more beneficiaries and individuals serving 20 or more beneficiaries). The reviews include a face-to-face meeting with the payee (and appropriate staff), examination/verification of a sample of beneficiary records and supporting documentation, and usually include beneficiary (if competent adult) or custodian (if different from payee) interviews. Forms SSA-637 and SSA-639 are used to record the information collected during these interviews. The respondents are certain representative payees and also competent Social Security beneficiaries.
15. The number of payees who meet the criteria for site reviews under P.L. 108-203 has increased each year. In addition, we are eliminating form SSA-638 which was used as the interview guide for those payees who qualified as fee for service payees. The revised SSA-637 will now be used to interview these payees instead (see addendum). In addition, SSA also reviews a number of payees randomly. The number of payees chosen for random review is derived from a formula tied to the number of payees subject to site reviews. Previously, the burden hours for random reviews were reported in the burden hours for form SSA-624 (0960-0069). To simplify procedures for our field offices and ensure that payees are interviewed thoroughly, we are replacing the SSA-624 with the SSA-637. The SSA-624 has other uses so while the form is being eliminated for random reviews, it will not become obsolete. The SSA-624 was also used to document the beneficiary interviews conducted with random reviews. Due to the expansion of the SSA-637 in order to incorporate those questions previously asked on the SSA-638 and SSA-624, we have adjusted the time per response to two hours to accommodate the increase in questions which the respondents will answer. The SSA-639 will now be used to conduct the beneficiary interview portion of the random review (see addendum). The burden hours for the SSA-624 will be adjusted accordingly after approval of these changes.
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.
Form SSA-637--revised Site Review Questionnaires for Volume and Fee-for-Service Payees
Supporting Statement--0633.doc
SSA-637.pdf
Site Review Questionnaires for Volume and Fee-for-Service Payees