The Department of the Treasury’s Pay.gov Collection Application for Benefit Overpayments

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Justification for the Non-Substantive Changes - 0811.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2019-11-25	Available
Supporting Statement - 0960-NEW (Pay.gov).docx	Supporting Statement A	Uploaded 2019-01-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
238692	Internet Application for Pay.gov - Email Receipt	Other-Internet Screens	New
234709	Internet Application for Pay.gov - Print or Save	Other-Internet Screens	Modified

ICR Details

OMB Control No: 0960-0811	ICR Reference No: 201911-0960-007
Status: Active	Previous ICR Reference No: 201810-0960-015
Agency/Subagency: SSA	Agency Tracking No:
Title: The Department of the Treasury’s Pay.gov Collection Application for Benefit Overpayments
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: 12/13/2019
	Date Received in OIRA: 12/05/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2022	03/31/2022	03/31/2022
Responses	732,000	0	5,089,512
Time Burden (Hours)	125,660	0	848,252
Cost Burden (Dollars)	0	0	0

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Abstract: The Social Security Administration will use the new Internet Pay.gov Application for Overpayments to offer a new repayment option to beneficiaries and recipients to recover overpayments they incurred. Pay.gov is an online collection portal developed and maintained by the Department of the Treasury (Treasury). The Internet remittance portal will offer beneficiaries and recipients another option to repay overpayments via credit card, debit card, and automated clearing house (ACH). The SSA application located on SocialSecurity.gov will request the overpaid individual’s Social Security Number (SSN) and dollar amount they wish to repay on his or her overpayment prior to sending them to Treasury’s Pay.gov application which will request and process the payment information on SSA’s behalf. The information SSA will collect is used to reconcile the Pay.gov transactions, and update the overpaid individual’s balance on his or her record. The respondents are individuals who have Title II or XVI overpayments, and who wish to voluntarily repay the overpayment online through SocialSecurity.gov. This is a Change Request to enhance the current application to clarify the language, and update the screens and burden information.

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Authorizing Statute(s): US Code: 42 USC 1383 Name of Law: Social Security Act
   PL: Pub.L. 104 - 134 Vol. II Name of Law: Social Security Act, the Debt Collection Improvement Act of 1996
   US Code: 31 USC 3711(f), 3716, 3717, and 3718 Name of Law: Money and Finance
   US Code: 42 USC 404 Name of Law: Social Security Act
   US Code: 5 USC 5514 Name of Law: Installment deduction for indebtedness to the United States
  

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:
	83 FR 53352	10/22/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 66330	12/26/2018
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
Internet Application for Pay.gov - Print or Save
Internet Application for Pay.gov - Email Receipt

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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	732,000	5,089,512	0	219,600	-4,577,112	0
Annual Time Burden (Hours)	125,660	848,252	0	40,260	-762,852	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: We are updating the current burden information for this application based on our current management information data. The burden estimate we submitted in January 2019 was based on the management information data we have regarding the number of respondents who need to submit payments to SSA for overpayments, as well as an educated estimate of how many of those respondents would potentially use the new Pay.gov application to submit those payments. Going forward, we will monitor actual usage of the screens when we create our burden estimates for all future PRA-related approval requests. In addition, we are updating our burden chart to reflect the respondents who may request to receive an email receipt. At this time, we anticipate that about 30% of all current users will request an email receipt. Based on our usability testing, we expect that requesting an email receipt may take up to one minute more for the respondent, thus increasing the average burden per response from 10 minutes to 11 minutes for those who request an email receipt.

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Annual Cost to Federal Government: $343,577

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: 12/05/2019

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