Consent-Based Social Security Number Verification Service (CBSV)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-89 Storing Consent Forms	Form	Modified	Available
0960-0760 (CBSV) Non-Substantive Changes.doc	Justification for No Material/Nonsubstantive Change	Uploaded 2008-07-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
181578	CPA Compliance Review and Report	Other-See Attachment E in User Agreement	Unchanged
181577	Responding to CPA Re-Contact	Other-See Part E of the User Agreement	Unchanged
181576	Completing Form SSA-89		Unchanged
181575	Compliance Review Activities	Instruction	Unchanged
181574	Storing Consent Forms	Form	Modified
181573	Using System to Upload Request Files, Check Status, Download Results	Instruction	Unchanged
181572	Creation of SSN Requests, Data Entry, Documentation Maintenance Etc.	Instruction	Unchanged
181571	Registration Process	Other-See Section 2 of this User Guide	Modified

ICR Details

OMB Control No: 0960-0760	ICR Reference No: 200807-0960-004
Status: Historical Active	Previous ICR Reference No: 200708-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Consent-Based Social Security Number Verification Service (CBSV)
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: 08/15/2008
	Date Received in OIRA: 07/17/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2010	11/30/2010	11/30/2010
Responses	10,095,040	0	10,095,040
Time Burden (Hours)	577,407	0	577,407
Cost Burden (Dollars)	21,897,000	0	21,897,000

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Abstract: SSA is making several non-substantive changes to CBSV documents based on feedback from the enrolling companies. See attached "0960-0760 Non-Substantive Changes" document i the ICR Documents section for details. For ease of viewing, the four changed documents are saved as "Supplementary Documents" at the bottom of the first IC, "Registration."

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 1306 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	70 FR 77439	12/30/2005
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 45079	08/10/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

table that charts list of burden

IC Title	Form No.	Form Name
Using System to Upload Request Files, Check Status, Download Results
Responding to CPA Re-Contact
CPA Compliance Review and Report
Creation of SSN Requests, Data Entry, Documentation Maintenance Etc.
Registration Process
Storing Consent Forms	SSA-89	Authorization for SSA to Release SSN Verification
Compliance Review Activities
Completing Form SSA-89

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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	10,095,040	10,095,040	0	0	0	0
Annual Time Burden (Hours)	577,407	577,407	0	0	0	0
Annual Cost Burden (Dollars)	21,897,000	21,897,000	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: * Burden increase due to new program (voluntary and requested by the respondents). ** NOTE: For the third IC, “Using System to Upload Request Files, Check Status, Download Results,” the cost per participant may be greater or less than what is actually reported in ROCIS. The reasoning for this is as follows: 22,590 responses are (correctly) reported for this IC. However, there are multiple SSN verifications per response, and while ROCIS multiplies the cost by the total number of responses, SSA charges for each SSN verification. Because the actual number of SSN verifications is much higher than the number of responses (since each response contains multiple verifications), inputting the cost per verification would result in an understatement of total cost for this IC. Therefore, we divided the actual total cost of all verifications by the number of responses and reported that number. Please see the supporting statement for specifics on the actual cost per SSN verification.

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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

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Common Form ICR:  No

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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: 07/17/2008

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