Filing Claims Under the Federal Tort Claims Act

ICR 202403-0960-011

OMB: 0960-0667

Federal Form Document

Forms and Documents
Form and Instruction
Supporting Statement A
ICR Details
0960-0667 202403-0960-011
Received in OIRA 202104-0960-001
Filing Claims Under the Federal Tort Claims Act
Revision of a currently approved collection   No
Regular 07/08/2024
  Requested Previously Approved
36 Months From Approved 07/31/2024
41 64
41 64
0 0

The Federal Tort Claims Act (FTCA) is the mechanism for compensating people who Federal employees injured through negligent or wrongful acts that occurred during the performance of those employees’ official duties. SSA accepts claims filed under the FTCA for damages against the United States; loss of property; personal injury; or death resulting from an SSA employee’s wrongful act or omission. The various types of claims included under this information collection request require claimants to provide information SSA can use to determine whether to make an award, compromise, or settlement under the FTCA. The respondents are individuals or entities making a claim under the FTCA.

US Code: 28 USC 2671-2680 Name of Law: Federal Tort Claims Act

Not associated with rulemaking

  89 FR 24886 04/09/2024
89 FR 55666 07/05/2024

  Total Request 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 41 64 0 0 -23 0
Annual Time Burden (Hours) 41 64 0 0 -23 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
When we last cleared this IC in 2021, the burden was 64 hours. However, we are currently reporting a burden of 41 hours. This stems from a minor decrease in respondents choosing to respond via written statement instead of using the SF-95 (OMB No. 1105 0008). 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.

Faye Lipsky 410 965-8783 [email protected]


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.

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