Claimant Statement About Loan of Food or Shelter; Statement about Food or Shelter Provided to Another
Revision of a currently approved collection
No
Regular
Approved with change
08/12/2024
09/30/2021
The agency provided substantially more detail in the supporting statement explaining the operation of this information collection and the need for the information. The agency also revised the burden estimate upwards and made minor revisions to the form to clarify when estimating dates and loan amounts is appropriate.
Prior to triannual renewal, the agency will allow for electronic submission of this information collection or will upload a separate document in which the agency provides a fact-specific justification for why this information collection cannot be signed and filed electronically and why this is consistent with the agency's commitments under Sec. 4 (k)(iii) and (iv) of E.O. 14058.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
08/31/2027
36 Months From Approved
08/31/2024
116,104
0
122,528
152,870
0
20,420
0
0
0
SSA bases an SSI claimant or recipientâs eligibility on need, as measured by the amount of income an individual receives. Per our calculations, income includes other people providing in-kind support and maintenance in the form of food and shelter to SSI applicants or recipients. SSA uses Forms SSA-5062 and SSA-L5063 to obtain statements about food or shelter provided to SSI claimants or recipients. SSA uses this information to determine whether food or shelters are bona fide loans or income for SSI purposes. This determination may affect claimantsâ or recipientsâ eligibility for SSI as well as the amounts of their SSI payments. The respondents are claimants and recipients for SSI payments, and individuals who provide loans of food or shelter to them.
US Code:
42 USC 1393
Name of Law: Social Security Act
When we last cleared this collection in 2018 the burden was 20,420 hours. However, we are currently reporting a burden of 48,376 hours. This change stems from a decrease in the number of responses from 122,528 to 116,104, due to fewer respondents applying for food and shelter assistance. Although the number of responses changed, SSA did not take any actions to cause this change. In addition, we are also increasing the burden per response based on current MI data which shows it takes longer for respondents to learn about the program, gather the information, and complete the information collection. The updated figure represents current MI data.
* Note: The total burden reflected in ROCIS is 152,870, while the burden cited in #12 of the Supporting Statement is 48,376. This discrepancy is because the ROCIS burden reflects the following components: field office waiting time + a rough estimate of a 30-minute, one-way, drive burden. In contrast, the chart in #12 of the Supporting Statement reflects actual burden.
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-L5063 Statement about Food or Shelter Provided to Another
Supporting Statement - 0529 (Final).docx
Statement About Food or Shelter Provided to Another