You Can Make Your Payment by Credit Card

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-4588 You Can Make Your Payment by Credit Card--SSA-4588	Form and Instruction	Modified	Available
Justification for Non-Substantive Changes - 0462.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2017-03-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9349	You Can Make Your Payment by Credit Card--SSA-4588	Form and Instruction	Modified
187022	You Can Make Your Payment by Credit Card--Electronic Application	Other-Internal Use Screens	Unchanged

ICR Details

OMB Control No: 0960-0462	ICR Reference No: 201703-0960-003
Status: Historical Active	Previous ICR Reference No: 201409-0960-011
Agency/Subagency: SSA	Agency Tracking No:
Title: You Can Make Your Payment by Credit Card
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/12/2017
	Date Received in OIRA: 03/20/2017
Terms of Clearance: Pursuant to 5 CFR 1320 and the Paperwork Reduction Act, OMB approves the change to this collection. When resubmitting this collection, an update to a System of Records Notice (SORN) is to be revised reflecting recurring credit card statements.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2018	03/31/2018	03/31/2018
Responses	234,516	0	234,516
Time Burden (Hours)	20,643	0	20,643
Cost Burden (Dollars)	0	0	0

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Abstract: SSA uses the information on Form SSA–-4588 and the one-time payment electronic application to update an individual's Social Security record to reflect payments made on their overpayment, and to effect payment through the appropriate credit card company. SSA uses the SSA-–4588 to allow individuals to authorize automatic monthly payments. SSA sends out the SSA-–4588 with initial overpayment notices, which informs individuals that SSA has detected an overpayment. Individuals may choose to make a one-time payment or recurring monthly payments by completing and submitting the SSA-–4588. When individuals choose to call SSA to make a payment in lieu of completing the Form SSA–-4588, an SSA debtor contact representative completes an electronic application to process the payment. Respondents are title II beneficiaries and Title XVI recipients who have outstanding overpayments. We are completing a Non-Substantive Change Request to correct the hours of operation on the form.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 1383 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:
	79 FR 57650	09/25/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 74154	12/15/2014
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
You Can Make Your Payment by Credit Card--Electronic Application
You Can Make Your Payment by Credit Card--SSA-4588	SSA-4588	You Can Make Your Payment By Credit Card

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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	234,516	234,516	0	0	0	0
Annual Time Burden (Hours)	20,643	20,643	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: SSA data indicates an increase in the total number of respondents from 184,520 to 234,516. The reason for the increase is twofold: (1) respondents are more familiar with paying debts via credit card; and (2) more debtors choose to make recurring monthly credit card payments.

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Annual Cost to Federal Government: $252,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 03/20/2017

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