Electronic Benefit Verification (BEVE) Internet Service

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Electronic Benefit Verification Informaiton (BEVE)	Form and Instruction	Modified	Available
Supporting Statement 0595.doc	Supporting Statement A	Uploaded 2011-04-05	Available
Addendum.doc	Supplementary Document	Uploaded 2011-04-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9573	Electronic Benefit Verification Informaiton (BEVE)	Form and Instruction	Modified

ICR Details

OMB Control No: 0960-0595	ICR Reference No: 201103-0960-009
Status: Historical Inactive	Previous ICR Reference No: 200805-0960-027
Agency/Subagency: SSA	Agency Tracking No:
Title: Electronic Benefit Verification (BEVE) Internet Service
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 05/20/2011
	Date Received in OIRA: 04/07/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	36 Months From Approved	09/30/2011
Responses	314,974	0	314,974
Time Burden (Hours)	26,248	0	26,248
Cost Burden (Dollars)	0	0	0

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Abstract: The Electronic Benefit Verification Internet service, BEVE, provides beneficiaries and Supplemental Security Income (SSI) recipients the convenience of requesting a proof of income statement through the Internet. Beneficiaries and SSI recipients often require a proof of income to obtain housing, food stamps, or other public services. The information we collect is used exclusively to provide the proof of income to the beneficiary or SSI recipient, after verifying the identity of the requester. The respondents are Social Security title II and Medicare beneficiaries, and SSI recipients.

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Authorizing Statute(s): US Code: 5 USC 552a Name of Law: The Social Security Act
   US Code: 42 USC 405 Name of Law: The 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:
	76 FR 5233	01/28/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 18290	04/01/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Electronic Benefit Verification Informaiton (BEVE)	N/A	Electronic Benefit Verification Information (BEVE)

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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: The increase in the public reporting burden stems from the public having greater access to, and are more comfortable with using, the Internet.

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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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 04/07/2011

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