Electronic Records Express Third-Party

Forms and Documents

Document Name	Status
0960-0767 supporting statement 2009 Revised.doc Supporting Statement A	2009-07-22
0960-0767 addendum 2009 Revised.doc Supplementary Document	2009-07-22

IC Document Collections

IC ID	Document Title	Status
181427	Electronic Records Express Third-Party Registration and Request Screens Other-screen shots	Modified

ICR Details

OMB Control No: 0960-0767	ICR Reference No: 200905-0960-016
Status: Historical Active	Previous ICR Reference No: 200708-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Electronic Records Express Third-Party
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/16/2009
	Date Received in OIRA: 07/27/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	36 Months From Approved	02/28/2011
Responses	2,640,000	0	78,344
Time Burden (Hours)	44,000	0	3,917
Cost Burden (Dollars)	0	0	0

---

Abstract: The Electronic Records Express (ERE) Third-Party to gives representatives of disability claimants full electronic access to their clients' disability files. The ICR includes registration to use the system and the access/request screens third parties must use each time they make a request from the system.

---

Authorizing Statute(s): PL: Pub.L. 105 - 277 3501-3520 Name of Law: Government Paperwork Elimination Act
   PL: Pub.L. 107 - 347 all sections Name of Law: E-Government Act of 2002
  

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:
	74 FR 18782	04/24/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 34616	07/16/2009
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 Records Express Third-Party Registration and Request Screens

---

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	2,640,000	78,344	0	2,561,656	0	0
Annual Time Burden (Hours)	44,000	3,917	0	40,083	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in functionality, described above, is expected to result in a corresponding increase in the number of respondents/responses.

---

Annual Cost to Federal Government: $1

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)? No

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: 07/27/2009

---