Representative Payment Policies and Administrative Procedures for Imposing Penalties for False or Misleading Statements or Withholding of Information

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0960-0740 supporting statement (2009).doc	Supporting Statement A	Uploaded 2009-12-28	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
45746	20 CFR 404.2035(f) - Intranet/Field office interview	Other-Sample in-office screen shots	Modified
45745	20 CFR 404.2035(d) - Intranet/Field Office Interview	Other-Sample in-office screen shots	Modified
45744	20 CFR 416.635(f) - Paper		Modified
45743	20 CFR 416.635(d) - Paper		Modified
45740	20 CFR 404.2035(f) - Paper		Modified
45739	20 CFR 404.2035(d) - Paper		Modified
191381	20 CFR 416.635(f) - Intranet/Field Office Interview	Other-Sample in-office screen shots	New
191380	20 CFR 416.635(d) - Intranet/Field office interview	Other-Sample in-office screen shots	New

ICR Details

OMB Control No: 0960-0740	ICR Reference No: 200911-0960-010
Status: Historical Active	Previous ICR Reference No: 200610-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Representative Payment Policies and Administrative Procedures for Imposing Penalties for False or Misleading Statements or Withholding of Information
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: 04/02/2010
	Date Received in OIRA: 01/13/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2013	36 Months From Approved	04/30/2010
Responses	858,500	0	858,502
Time Burden (Hours)	71,257	0	71,258
Cost Burden (Dollars)	0	0	0

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Abstract: This ICR comprises several regulation sections that provide additional safeguards for Social Security beneficiaries whose representative payees receive their payments. The respondents are representative payees who receive and use benefits on behalf of Social Security beneficiaries.

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Authorizing Statute(s): PL: Pub.L. 108 - 123 101-420 Name of Law: Social Security Protection Act
   US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 1007 Name of Law: Social Security Act
   US Code: 42 USC 1383 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: PL: Pub.L. 108 - 123 101-420 Name of Law: Social Security Protection Act

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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:
	74 FR 41959	08/19/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 55080	10/26/2009
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
20 CFR 416.635(f) - Intranet/Field Office Interview
20 CFR 416.635(d) - Paper
20 CFR 416.635(f) - Paper
20 CFR 416.635(d) - Intranet/Field office interview
20 CFR 404.2035(d) - Intranet/Field Office Interview
20 CFR 404.2035(f) - Intranet/Field office interview
20 CFR 404.2035(f) - Paper
20 CFR 404.2035(d) - Paper

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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	858,500	858,502	0	-2	0	0
Annual Time Burden (Hours)	71,257	71,258	0	-1	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: Explanation re burden: 1) When we first cleared this ICR, we included a regulation section with a 1-hour placeholder burden. In other words, this section's burdens were already covered by existing OMB-approved ICRs. As per recent OMB guidance, we no longer need to include/report on such sections, so we removed the relevant section from the IC list. This is why ROCIS indicates a 1-hour decrease in burden -- we removed that section. In reality, there was no burden change for this collection. 2) We re-organized the remaining regulation sections so the paper and Intranet version of each regulation section is reported as its own IC. For many sections, we revised the existing ICs to reflect the new paper- or Intranet-only regulation section, with the burden adjusted accordingly. However, because we previously combined paper and Intranet respondents together (as at that point the regulation was new and we couldn't accurately break out those categories), ROCIS indicates major burden changes for each IC. A comparison of the total burden for this ICR versus the last ICR reflects only a 1-hour burden difference (explained in #1 above).

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Annual Cost to Federal Government: $1,136,000

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)? No

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: 01/13/2010

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