SSI Notice of Interim
Assistance Reimbursement (IAR)
Revision of a currently approved collection
No
Regular
10/06/2020
Requested
Previously Approved
36 Months From Approved
01/31/2021
459,501
637,160
32,170
45,216
0
0
Section 1631(g) of the Social Security
Act authorizes SSA to reimburse an IAR agency from an individual’s
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 SSA’s determination on the individual’s claim. The
authorization represents the individual’s 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 SSA–8125 or the SSA– L8125–F6); (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) – 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) – 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.
Addendum - 0546.docx
a) State Notification of Receipt of Authorization (Electronic Process)