Information Collection Request

You Can Make Your Payment by Credit Card

ICR 202012-0960-014 · OMB 0960-0462 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form SSA-4588 You Can Make Your Payment By Credit Card Form and Instruction Modified Available
Form SSA-4588 You Can Make Your Payment by Credit Card--SSA-4588 Form and Instruction Modified Repair queued
Form SSA-4589 Credit Card Remittance Form Modified Available
Form SSA-4589 You Can Make Your Payment by Credit Card--Electronic Application SSA-4589 Form Modified Available
Addendum - 0462 (Final).docx Supplementary Document Uploaded 2021-04-28 Available
Addendum - 0462 (Final).docx Supplementary Document Uploaded 2021-04-28 Repair queued
Supporting Statement - 0462 (Final).docx Supporting Statement A Uploaded 2021-05-06 Available
Supporting Statement - 0462 (Final).docx Supporting Statement A Uploaded 2021-05-06 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
9349 You Can Make Your Payment by Credit Card--SSA-4588 Form and Instruction ModifiedYou Can Make Your Payment By Credit Card
9349 You Can Make Your Payment by Credit Card--SSA-4588 Form and Instruction Modified
9349 You Can Make Your Payment by Credit Card--SSA-4588 Other-Revised PA & PRA Statements Modified
187022 You Can Make Your Payment by Credit Card--Electronic Application SSA-4589 Form ModifiedCredit Card Remittance
187022 You Can Make Your Payment by Credit Card--Electronic Application SSA-4589 Form Modified
ICR Details
0960-0462 202012-0960-014
Active 201710-0960-003
SSA
You Can Make Your Payment by Credit Card
Revision of a currently approved collection   No
Regular
Approved with change 11/19/2024
Retrieve Notice of Action (NOA) 05/06/2021
In accordance with 5 CFR 1320, this information collection is approved.
  Inventory as of this Action Requested Previously Approved
11/30/2026 36 Months From Approved 11/30/2024
275,000 0 275,000
24,292 0 24,292
0 0 0

SSA uses the information we collect on Form SSA-4588, and its electronic application, SSA-4589, to update individuals’ Social Security records to reflect payments made on their overpayments. In addition, SSA uses this information to process payments through the appropriate credit card company. SSA provides a copy of the SSA-4588 when we inform an individual that we detected an overpayment. Individuals may choose to make a one-time payment, or recurring monthly payments, when they complete and submit the SSA-4588. When individuals choose to telephone the Program Service Centers (PSC) to make a one-time payment in lieu of completing Form SSA-4588, an SSA debtor contact representative completes the SSA-4589 electronic Intranet application. SSA employees, who take the telephone calls from individuals making a one-time credit card payment, enter credit card information directly into an electronic intranet application. Individuals wishing to establish recurring monthly payments must still complete the SSA-4588 paper form due to the original signature requirement. Respondents are Old Age Survivors and Disability Insurance (OASDI) beneficiaries and Supplemental Security Income (SSI) recipients who have outstanding overpayments.

US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 1383 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  86 FR 8246 02/04/2021
86 FR 22510 04/28/2021
No

  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 275,000 275,000 0 0 0 0
Annual Time Burden (Hours) 24,292 24,292 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$688,026
No
    Yes
    Yes
No
No
No
No
Faye Lipsky 410 965-8783 [email protected]

  No

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.
05/06/2021