Cost Reimbursable Research Request

Forms and Documents

Document Name	Status
Cost Reimbursable Research Request--Application Reporting Form and Instruction	New
Cost Reimbursable Research Request Passbac Response (2).doc Supplementary Document	2007-09-26
SS - Cost Reimbursable Requests Service 04-23-07[1].doc Supporting Statement A	2007-05-21

IC Document Collections

IC ID	Document Title	Status
179744	Cost Reimbursable Research Request--Application Reporting Form and Instruction	New

ICR Details

OMB Control No: 0960-0754	ICR Reference No: 200704-0960-012
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: Cost Reimbursable Research Request
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/02/2007
	Date Received in OIRA: 05/30/2007
Terms of Clearance: This ICR is approved consistent with memo of 9/17/07.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	36 Months From Approved
Responses	15	0	0
Time Burden (Hours)	60	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: Qualified Researchers need SSA administrative data for a variety of projects. To request SSA program data for research, the researcher must submit a complete and signed printed version and an electronic version of the application. In the application, the researcher must describe the way in which this project will further SSA’s mission to promote the economic security of the nation’s people through its administration of the Old Age and Survivors and Disability Insurance Programs, and/or the Supplemental Security Income Program. The requestor must specify whether they want micro data, tabular or statistical data. SSA’s Office of Policy (OP) provides micro data, i.e. individual data records with or without identifiers, only to state and federal agencies or their contractors/grantees. The researcher may use the data for research and statistical purposes ONLY. They may not use the data for programmatic or enforcement purposes. SSA will recuperate all expenses incurred in providing this information.

---

Authorizing Statute(s): US Code: 42 USC 1306 Name of Law: null
   US Code: 5 USC 552a (b)(5) Name of Law: Privacy Act of 1974, as amended
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 12244	03/15/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 28540	05/21/2007
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Cost Reimbursable Research Request--Application Reporting	N/A	HOW TO REQUEST SSA PROGRAM DATA FOR RESEARCH

---

ICR Summary 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	15	0	0	0	0	15
Annual Time Burden (Hours)	60	0	0	0	0	60
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:

---

Annual Cost to Federal Government: $112,500

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: 05/30/2007

---