Statement for Determining Continuing Eligibility for Supplemental Security Income Payments, 20 CFR 416.204

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-8202-BK Statement for Determining Continuing Eligibility, Supplemental Security Income Payment--BK & MSSICS Screens	Form	Unchanged	Available
MSSICS Screen Mockup.doc	Supplementary Document	Uploaded 2008-05-19	Available
Justification for Revision--Background-Direct Express.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2008-05-19	Available
Supporting_Statement_8202_Jan_16_2007_Rev_02-07-07_FINAL I.doc	Supporting Statement A	Uploaded 0000-00-00	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45420	Statement for Determining Continuing Eligibility, Supplemental Security Income Payment--OCR	Instruction	Unchanged
45419	Statement for Determining Continuing Eligibility, Supplemental Security Income Payment--BK & MSSICS Screens	Form	Unchanged

ICR Details

OMB Control No: 0960-0145	ICR Reference No: 200805-0960-014
Status: Historical Active	Previous ICR Reference No: 200607-0960-019
Agency/Subagency: SSA	Agency Tracking No:
Title: Statement for Determining Continuing Eligibility for Supplemental Security Income Payments, 20 CFR 416.204
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/20/2008
	Date Received in OIRA: 05/19/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2010	05/31/2010	05/31/2010
Responses	301,000	0	301,000
Time Burden (Hours)	105,183	0	105,183
Cost Burden (Dollars)	0	0	0

---

Abstract: SSA uses form SSA-8202-BK to conduct low- and middle-error profile (LEP-MEP) telephone or face-to-face redetermination (RZ) interviews with SSI recipients and representative payees. The information is used to determine whether SSI recipients meet all statutory and regulatory requirements for SSI eligibility and whether they have been and are still receiving the correct payment amount. Form SSA-8202-OCR-SM collects similar information to Form SSA-8202-BK; however, it is used exclusively in LEP RZ cases on a 6-year cycle.

---

Authorizing Statute(s): US Code: 42 USC 1382 Name of Law: null
  

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:
	71 FR 27016	05/09/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 43270	07/31/2006
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Statement for Determining Continuing Eligibility, Supplemental Security Income Payment--OCR	SSA-8202-OCR	Statement for Determining Continuing Eligibility, Supplemental Security Income Payment
Statement for Determining Continuing Eligibility, Supplemental Security Income Payment--BK & MSSICS Screens	SSA-8202-BK	Statement for Determining Continuing Eligibility Supplemental Security Income Payment

---

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	301,000	301,000	0	0	0	0
Annual Time Burden (Hours)	105,183	105,183	0	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: The decrease in the public reporting burden is the result of budgetary constraints. The FY07 Presidential budget substantially reduced the amount of funds for SSI redeterminations.

---

Annual Cost to Federal Government: $28,000,000

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: 05/19/2008

---