20 CFR 404.2065 and 416.665
A. Justification
Introduction/Authoring Laws and Regulations
Sections 205(j)(3) and 1631(a)(2)(c) of the Social Security Act (Act) state that the Social Security Administration (SSA) may authorize payment of Social Security benefits or Supplemental Security Income to a relative, another person, or an organization interested in, or concerned about, the welfare of the beneficiary or SSI recipient, when SSA determines it is not in the beneficiary or SSI recipient’s best interest to receive benefits directly. SSA calls these individuals and organizations representative payees. Sections 205(j)(3) and 1631(a)(2)(C) of the Act authorize SSA to monitor and verify (in certain situations) how the representative payees use such payments. SSA requires representative payees (except State mental institutions participating in SSA’s triennial onsite review program) to report to SSA in writing at least once a year to explain how they used and conserved the funds they received. Sections 20 CFR 404.2065 and 416.665 of the Code of Federal Regulations authorizes SSA to collect periodic written reports from representative payees.
Description of Collection
SSA
uses the Representative Payee Evaluation Report, Form SSA-624, as a
documentation tool for interviews with, and evaluations of,
representative payees. SSA requires our field
offices (FO) to conduct a face-to-face interview with the
representative payee using Form SSA-624 when: (1) SSA finds the
payee’s responses on SSA-required annual accounting reports
[Forms SSA-623, SSA‑6230, and SSA-6234 (OMB No. 0960‑0068)]
unacceptable, and we cannot resolve them; (2) the payee fails to
complete SSA’s initial and second request
for an annual accounting report; and, (3) assessing the
representative payee’s continued suitability. In
addition to the representative payee, we also interview the
beneficiary, or SSI recipient, and custodian (if other than the
payee) to confirm information the payee provides, and to ensure the
payee is meeting the beneficiary’s or SSI recipient’s
current needs (face‑to-face interview not required). The
respondents are individuals or organizations serving as
representative payees for individuals receiving Title II benefits or
Title XVI payments, and who fail to comply with SSA’s
statutory annual reporting requirement.
Use of Information Technology to Collect the Information
FO’s complete the paper Form SSA-624 based on a face-to-face interview with the representative payee. The form will also be available in a Fillable modality, which will allow respondents to continue to print and complete the form by hand, but also allow them to complete the form on a computing device, print it, and submit it to SSA. SSA has not, yet, scheduled this form for electronic implementation under the SSA Government Paperwork Elimination Act plan because higher volume forms take precedence. Once SSA converts our higher volume applications to electronic modalities, we can begin concentrating on those with lower volumes of respondents.
Why We Cannot Use Duplicate Information
The nature of the information we collect and the manner in which we collect it preclude duplication. SSA does not use another collection instrument to obtain similar data.
Minimizing Burden on Small Respondents
This collection may affect some small businesses or other small entities. We minimized the burden by carefully reviewing the form and ensuring we ask small businesses and small entities only relevant and necessary questions. We have also minimized the burden by incorporating “yes” and “no” responses where feasible.
Consequence of Not Collecting Information or Collecting it Less Frequently
SSA collects accounting information annually from representative payees. This statutory requirement is the result of a class action suit filed against SSA (Jordan v. Bowen), and therefore, we must collect the information. There is continued Congressional interest on initiatives designed by SSA to improve the representative payment monitoring process. For these reasons, we cannot collect the information less frequently. There are no technical or legal obstacles to burden reduction.
Special Circumstances
There are no special circumstances that would cause SSA to conduct this information collection in a manner inconsistent with 5 CFR 1320.5.
Solicitation of Public Comment and Other Consultations with the Public
SSA published the 60-day advance Federal Register Notice on March 24, 2016 at 81 FR 15774, and we received no public comments. We published the 30-day Federal Register Notice on June 20, 2016 at 81 FR 39990. If we receive any comments in response to the 30-day Notice, we will forward them to OMB. SSA has had no outside consultations with members of the public.
Payment or Gifts to Respondents
SSA does not provide payments or gifts to the respondents.
Assurances of Confidentiality
SSA protects and holds confidential the information it collects in accordance with 42 U.S.C. 1306, 20 CFR 401 and 402, 5 U.S.C. 552 (Freedom of Information Act), 5 U.S.C. 552a (Privacy Act of 1974), and OMB Circular No. A-130.
Justification for Sensitive Questions
The information collection does not contain any questions of a sensitive nature.
Estimates of Public Reporting Burden
SSA uses Form SSA-624 annually for approximately 267,000 respondents. The estimated completion time is 30 minutes for a total burden of 133,500 hours. Based on SSA’s most recent data, we estimate the burden data as follows:
Type of Respondents |
Number of Respondents |
Frequency of Response |
Response Time (minutes) |
Burden (hours) |
Individuals |
194,910 |
1 |
30 |
97,455 |
State/Local Governments |
8,010 |
1 |
30 |
4,005 |
Businesses |
64,080 |
1 |
30 |
32,040 |
Total |
267,000 |
|
|
133,500 |
The total burden reflects burden hours, and we did not calculate a separate cost burden.
Annual Cost to the Respondents (Other)
This collection does not impose a known cost burden to the respondents.
Annual Cost To Federal Government
The annual cost to the Federal Government is approximately $1,754,190. This estimate is a projection for collecting and processing the information.
Program Changes or Adjustments to the Information Collection Request
There is no change in the public reporting burden.
Plans for Publication Information Collection Results
SSA will not publish the results of the information collection.
Displaying the OMB Approval Expiration Date
OMB granted SSA an exemption from the requirement to print the OMB expiration date on its program forms. SSA produces millions of public-use forms with life cycles exceeding those of an OMB approval. Since SSA does not periodically revise and reprint its public-use forms (e.g., on an annual basis), OMB granted this exemption so SSA would not have to destroy stocks of otherwise useable forms with expired OMB approval dates, avoiding Government waste.
Exceptions to Certification Statement
SSA is not requesting an exception to the certification requirements at 5 CFR 1320.9 and related provisions at 5 CFR 1320.8(b) (3).
B. Collections of Information Employing Statistical Methods
SSA does not use statistical methods for this information collection.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Title of Information Collection and Form Number(s) |
| Author | Naomi |
| File Modified | 0000-00-00 |
| File Created | 2021-01-24 |