Electronic Benefit Verification Information (BEVE)

Forms and Documents

Document Name	Status
Electronic Benefit Verification Informaiton (BEVE) Form and Instruction	Modified
Supporting Statement 0960-0595.doc Supporting Statement A	2011-07-15
Addendum to Supporting Statement 5-23-11.doc Supplementary Document	2011-07-15

IC Document Collections

IC ID	Document Title	Status
9573	Electronic Benefit Verification Informaiton (BEVE) Form and Instruction	Modified
197942	Request a Benefit Verification Letter (iBEVE) Other-iBEVE Screens	New

ICR Details

OMB Control No: 0960-0595	ICR Reference No: 201106-0960-001
Status: Historical Active	Previous ICR Reference No: 200805-0960-027
Agency/Subagency: SSA	Agency Tracking No:
Title: Electronic Benefit Verification Information (BEVE)
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: 09/30/2011
	Date Received in OIRA: 07/28/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2014	36 Months From Approved	09/30/2011
Responses	1,878,702	0	314,974
Time Burden (Hours)	139,763	0	26,248
Cost Burden (Dollars)	0	0	0

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Abstract: The electronic proof of income verification (POI) Internet service, BEVE, provides beneficiaries the convenience of requesting a proof of income statement through the Internet. Beneficiaries often require a POI to obtain housing, Food Stamps, or other public services. The information collected is used exclusively to provide the POI to the beneficiary, after verifying the identity of the requestor. The respondents are Social Security title II, title XVI, and Medicare beneficiaries.

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Authorizing Statute(s): US Code: 5 USC 552a Name of Law: Social Security Act
   US Code: 42 USC 405 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:
	76 FR 5233	01/28/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 38449	06/30/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

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

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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	1,878,702	314,974	0	1,007,744	555,984	0
Annual Time Burden (Hours)	139,763	26,248	0	67,183	46,332	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 burden under the ICI BEVE is due to the public having greater access to, and are more comfortable with using, the Internet. We are also revising the ICR to include the release of the enhanced BEVE now called the Request a Benefit Verification Letter, or iBEVE, Internet application. Respondents will now be able to obtain a benefit verification letter via the Internet. We anticipate a decrease in respondents' overall response time under iBEVE since respondent authentication will take place (and be counted) under a different Internet application (new Public Credentialing and Authentication Process and MySocialSecurity).

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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: 07/28/2011

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