Addendum to Supporting Statement

Addendum to the Supporting Statement for SSA-322

Beneficiary Interview and Auditor’s Observations

5 CFR 1320.5(b)

OMB No. 0960-0630

Terms of Clearance

This ICR is approved consistent with the memo of August 14, 2007 and on the

understanding that roughly 95% of the interviewees are beneficiaries themselves, not their rep payees. SSA agrees to add a check box to the IC so that the interviewer/auditor can affirmatively indicate whether the respondent is the beneficiary or the rep payee. Upon resubmission, SSA should include in the supporting statement information about the percentage of interviewees who were beneficiaries and the percentage who

were rep payees.

Obtaining the percentage of interviewees who were beneficiaries and the percentage who were representative payees is not applicable. We use Form SSA-322 strictly to interview the beneficiary and/or observe the beneficiary’s living conditions. This form is not (nor has been) used to interview the representative payee. When we cannot interview the beneficiary (e.g. beneficiary is a small child), the interviewer/auditor generally rely on their observations of the beneficiary’s living conditions. We do not use the SSA-322 to interview representative payee. Therefore, placing a check box on the form so that the interviewer/auditor can affirmatively indicate whether the respondent is the beneficiary or representative payee is not applicable.

Minor Revisions to the Collection Instrument

SSA is making the following revisions:

We are revising the PRA statement to reflect our current boilerplate language.  The current language, which dates back to the last reprint of the form, is now outdated.

SSA’s Office of the General Counsel is conducting a systematic review of SSA’s Privacy Act Statements on agency forms. As a result, SSA is updating the Privacy Act Statement on the first page of the form.