Electronic Benefit Verification Information (BEVE)

Forms and Documents

Document Name	Status
Electronic Benefit Verification Informaiton (BEVE) Form and Instruction	Modified
Supporting Statement--0595F.doc Supporting Statement A	2008-06-03

IC Document Collections

IC ID	Document Title	Status
9573	Electronic Benefit Verification Informaiton (BEVE) Form and Instruction	Modified

ICR Details

OMB Control No: 0960-0595	ICR Reference No: 200805-0960-027
Status: Historical Active	Previous ICR Reference No: 200504-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Electronic Benefit Verification Information (BEVE)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/15/2008
	Date Received in OIRA: 06/06/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	36 Months From Approved	08/31/2008
Responses	314,974	0	133,920
Time Burden (Hours)	26,248	0	11,160
Cost Burden (Dollars)	0	0	0

---

Abstract: The electronic proof of income verification (POI) Internet service, BEVE, provides beneficiaries the convenience of requesting a proof of income statement through the Internet. Beneficiaries often require a POI to obtain housing, Food Stamps, or other public services. The information collected is used exclusively to provide the POI to the beneficiary, after verifying the identity of the requestor. The respondents are Social Security Title II, Title XVI, and Medicare beneficiaries.

---

Authorizing Statute(s): US Code: 5 USC 552a Name of Law: null
   US Code: 42 USC 405 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:
	73 FR 16734	03/28/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 30656	05/28/2008
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
Electronic Benefit Verification Informaiton (BEVE)	N/A	Electronic Benefit Verification Information (BEVE)

---

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	314,974	133,920	0	0	181,054	0
Annual Time Burden (Hours)	26,248	11,160	0	0	15,088	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: There has been an increase in the public reporting burden from 11,160 to 26,248 hours, as more users have been using the BEVE system.

---

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: 06/06/2008

---