Electronic Records Express

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Addendum - 0753.docx	Supplementary Document	Uploaded 2020-12-04	Available
Addendum - 0753.docx	Supplementary Document	Uploaded 2020-12-04	Repair queued
Supporting Statement - 0753 (Final).docx	Supporting Statement A	Uploaded 2023-10-19	Available
Supporting Statement - 0753.docx	Supporting Statement A	Uploaded 2020-12-08	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
180253	ERE	Other-Sreen Shots	Modified

ICR Details

OMB Control No: 0960-0753	ICR Reference No: 202008-0960-017
Status: Active	Previous ICR Reference No: 201703-0960-004
Agency/Subagency: SSA	Agency Tracking No:
Title: Electronic Records Express
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/30/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/08/2020
Terms of Clearance: The agency made modifications to the Supporting Statement to better describe the information collection and submission process. The agency also uploaded a Supplementary Document to provide greater detail regarding ERE functionality. The agency modified burden estimates as well.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2026	36 Months From Approved	11/30/2023
Responses	6,183,548	0	5,376,998
Time Burden (Hours)	1,030,591	0	896,166
Cost Burden (Dollars)	0	0	0

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Abstract: When a new source registers to use the website, SSA or state agency employees conduct the registration by phone or in person, and then keys the information into ERE. After completing the registration process, the registered user can provide evidence to the agency, and may request payment for providing evidence through the ERE website. SSA and state agency employees request the medical and educational records collected through the ERE website. The agency uses the information collected through ERE to make a determination on an Application for Benefits. We also use the ERE website to order and receive consultative examinations when we are unable to collect enough medical records to determine disability findings. The respondents are medical providers who evaluate or treat disability claimants or recipients, and other third parties with connections to disability applicants or recipients (ex: teachers and school administrators for child disability applicants), who voluntarily choose to use ERE to submit information.

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Authorizing Statute(s): PL: Pub.L. 105 - 277 - Name of Law: Government Paperwork Elimination Act
  

Citations for New Statutory Requirements: PL: Pub.L. 105 - 277 - Name of Law: Government Paperwork Elimination Act

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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:
	85 FR 63630	10/08/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 79064	12/08/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
ERE

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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	6,183,548	5,376,998	0	0	806,550	0
Annual Time Burden (Hours)	1,030,591	896,166	0	0	134,425	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: When we last cleared this IC in 2017, the burden was 896,166 hours. However, we are currently reporting a burden of 1,030,591 hours. This change stems from an increase in the number of responses from 5,376,998 to 6,183,548. 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.

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Annual Cost to Federal Government: $2,577,228

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: 12/08/2020

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