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

Forms and Documents

Document Name	Status
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
Form SSA-7162-OCR-SM SSA-7162-OCR-SM--Report to U.S. SSA Form and Instruction	Modified
Supporting Statement - 0049.docx Supporting Statement A	2019-09-12
Addendum - 0049.docx Supplementary Document	2019-08-21

IC Document Collections

IC ID	Document Title	Status
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
178733	SSA-7162-OCR-SM--Report to U.S. SSA Form and Instruction	Modified

ICR Details

OMB Control No: 0960-0049	ICR Reference No: 201905-0960-004
Status: Received in OIRA	Previous ICR Reference No: 201604-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds/Report to U.S. SSA
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 09/12/2019

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2021
Responses	468,762	436,595
Time Burden (Hours)	46,116	43,412
Cost Burden (Dollars)	0	0

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Abstract: 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.

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Authorizing Statute(s): 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
  

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:
	84 FR 25891	06/04/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 40121	08/13/2019
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
SSA-7161-OCR-SM--Report to U.S. SSA by Person Receiving Benefits for a Child or Adult Unable to Handle Funds	SSA-7161-OCR-SM	Report to United States Social Security Administration by Person Receiving Benefits for a Child or Adult Unable to Handle Funds
SSA-7162-OCR-SM--Report to U.S. SSA	SSA-7162-OCR-SM	Report to United States Social Security Administration

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ICR Summary of Burden

	Total Request	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

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 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.

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Annual Cost to Federal Government: $977,425

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? No

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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: 09/12/2019

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