The agency provided additional detail regarding the use of the information collection and means of submission.
Approved consistent with the agency's commitments under Sec. 4 (k)(iii) and (iv) of E.O. 14058.
As soon as reasonably possible, the agency will conduct a further non-substantive change to make further clarifying revisions to the Supporting Statement A
Inventory as of this Action
Requested
Previously Approved
05/31/2027
36 Months From Approved
05/31/2024
459,501
0
637,160
32,170
0
45,216
0
0
0
Section 1631(g) of the Social Security Act authorizes SSA to reimburse an IAR agency from an individualâs retroactive Supplemental Security Income (SSI) payment for assistance the IAR agency gave the individual for meeting basic needs while an SSI claim was pending or SSI payments were suspended or terminated. The State or local agency needs an IAR agreement with SSA to participate in the IAR program. The individual receiving the IAR payment signs an authorization form with an IAR agency to allow SSA to repay the IAR agency for funds paid in advance prior to SSAâs determination on the individualâs claim. The authorization represents the individualâs intent to file for SSI, if they did not file an application prior to SSA receiving the authorization. Agencies who wish to enter into an IAR agreement with SSA needs to meet the following requirements:
⢠Reporting Requirements - Each IAR agency agrees to:
(a) notify SSA of receipt of an authorization for initial claims or cases they are appealing, and (b) submit a copy of that authorization either through a manual or electronic process;
(c) inform SSA of the amount of reimbursement;
(d) submit a written request for dispute resolution on a determination;
(e) notify SSA of interim assistance paid (using the SSAâ8125 or the SSAâ L8125âF6);
(f) inform SSA of any deceased claimants who participate in the IAR program and ;
(g) review and sign an agreement with SSA.
⢠Recordkeeping Requirements (h & i) â the IAR agencies agree to retain all notices, agreement, authorizations, and accounting forms for the period defined in the IAR agreement for the purposes of SSA verifying transactions covered under the agreement.
⢠Third Party Disclosure Requirements (j): Each participating IAR agency agrees to send written notices from the IAR agency to the recipient regarding payment amounts and appeal rights.
⢠Periodic Review of Agency Accounting Process (k-m) â the IAR agency makes the IAR accounting records of paid cases available for SSA review and verification. SSA conducts reviews either onsite or through the mail of the authorization forms, notices to the claimant and accounting forms. Upon completion of the review, SSA provides a written report of findings to the IAR agency director.
The respondents are State IAR officers.
When we last cleared this IC in 2017, the burden was 45,216 hours. However, we are currently reporting a burden of 32,170 hours. This change stems from a decrease in the number of responses from 2016 to 2019. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change. These figures represent current Management Information data.
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.
Form SSA-L8125-F6 Supplemental Security Income Notice of Interim Assistance Reimbursement
Addendum - 0546 (Final).docx
a) State Notification of Receipt of Authorization (Electronic Process)