Information Collection Request

Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA

ICR 201905-0960-004 · OMB 0960-0049 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form SSA-7161-OCR-SM Report to United States Social Security Administration by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Form Modified Available
Form SSA-7161-OCR-SM SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Form Modified Available
Form SSA-7162-OCR-SM Report to United States Social Security Administration Form and Instruction Modified Available
Form SSA-7162-OCR-SM SSA-7162-OCR-SM--Report to U.S. SSA Form and Instruction Modified Repair queued
Supporting Statement - 0049 (Revised).docx Supporting Statement A Uploaded 2023-02-14 Available
Supporting Statement - 0049.docx Supporting Statement A Uploaded 2019-09-12 Missing upstream
Addendum - 0049.docx Supplementary Document Uploaded 2019-08-21 Available
Addendum - 0049.docx Supplementary Document Uploaded 2019-08-21 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
8961 SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Form ModifiedReport to United States Social Security Administration by Person Receiving Benefits for a Child or Adult Unable to Handle Funds
8961 SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Form Modified
8961 SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds Instruction Modified
178733 SSA-7162-OCR-SM--Report to U.S. SSA Form and Instruction ModifiedReport to United States Social Security Administration
178733 SSA-7162-OCR-SM--Report to U.S. SSA Form and Instruction Modified
178733 SSA-7162-OCR-SM--Report to U.S. SSA Other-Revised Privacy Act Statement Modified
ICR Details
0960-0049 201905-0960-004
Active 201604-0960-006
SSA
Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA
Revision of a currently approved collection   No
Regular
Approved with change 02/16/2023
Retrieve Notice of Action (NOA) 09/12/2019
The agency made major revisions to the supporting statement to better explain the information collection, limitations on the ability to electronically submit the information, and burden estimates, among other areas. No later than one year prior to re-submission, the agency will develop and submit a plan to OMB that allows for SSA to roll-out electronic submission of this information collection when SSA requests its triannual renewal. In this proposal, SSA will prioritize leveraging any existing document submission platform to accommodate electronic submission. In developing a mechanism for submitting this collection electronically, the agency will presume that common types of evidence to support proof of address, including copies of prior-year tax return, a non-expired identification card, or recent bills provide an equivalent level of proof of address as its current, mail-based mechanisms.
  Inventory as of this Action Requested Previously Approved
02/28/2026 36 Months From Approved 02/28/2023
468,762 0 436,595
46,116 0 43,412
0 0 0

SSA uses Forms SSA-7161-OCR-SM and SSA 7162-OCR-SM to: (1) determine continuing entitlement to Social Security benefits; (2) correct benefit amounts for beneficiaries outside the United States; and (3) monitor the performance of representative payees outside the United States. This collection is mandatory as an annual (or every other year, depending on the country of residence) review for fraud prevention. In addition, the results can affect benefits by increasing or decreasing payment amount or by causing SSA to suspend or terminate benefits. SSA employees collect this information via paper form. The respondents are individuals living outside the United States who are receiving benefits on their own (or on behalf of someone else) under Title II of the Act.

US Code: 42 USC 403 Name of Law: Reduction of Insurance Benefits
   US Code: 42 USC 405 Name of Law: Evidence, Procedure, and Cetification for Payments
  
None

Not associated with rulemaking

  84 FR 25891 06/04/2019
84 FR 40121 08/13/2019
No

  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 468,762 436,595 0 0 32,167 0
Annual Time Burden (Hours) 46,116 43,412 0 0 2,704 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The respondents for SSA 7161 OCR-SM are representative payees; while the respondents for the SSA 7162-OCR-SM are the individual beneficiaries who do not require representative payees. When we last cleared this IC in 2016, the burden was 43,412. However, we are currently reporting a burden of 46,116. This change stems from an increase in the number of responses from 436,595 to 468,762. There is no change to the burden time per response. Per our records, the number of responses changed because the beneficiary population living outside the United States increased. SSA did not take any actions to cause this change.

$977,425
No
    Yes
    Yes
No
No
No
No
Faye Lipsky 410 965-8783 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
09/12/2019