OMB control number
Centenarian Project and Medicare Non-Utilzation Project Development Worksheets: Face-to-Face Interview; Telephone Interview
OMB 0960-0780 · SSA.
OMB 0960-0780
SSA conducts interviews with centenary Title II beneficiaries and Title XVI recipients, and Medicare Non-Utilization Project (MNUP) beneficiaries age 90 and older to: (1) Assess if the beneficiaries are still living; (2) prevent fraud through identity misrepresentation; and (3) evaluate the well-being of the recipients. SSA field office personnel obtain the information through one-time, in-person interviews with the centenarians and MNUP beneficiaries. If the centenarians and MNUP beneficiaries have representatives or caregivers, SSA personnel invite them to the interviews. During these interviews, SSA employees make overall observations of the centenarians, MNUP beneficiaries, and their representative payees (if applicable). The interviewer uses the appropriate Development Worksheet as a guide for the interview, in addition to documenting findings during the interview. Non-completion of the Worksheets, or refusal of the interviews, will result in the suspension of the centenarians’ or MNUP beneficiaries’ payments. SSA conducts the interviews either over the telephone or through a face-to-face discussion with the respondents. Respondents are SSI recipients or Social Security beneficiaries 100 years old or older; MNUP beneficiaries; their representative payees; or their caregivers.
The latest form for Centenarian Project and Medicare Non-Utilzation Project Development Worksheets: Face-to-Face Interview; Telephone Interview expires 2029-07-31 and is listed under ICR 202603-0960-012.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
| Supporting Statement A | |
| Other-Interview Worksheet | |
| Other-Interview Worksheet | |
| Other-Interview Worksheet |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202603-0960-012 | Revision of a currently approved collection | 2026-04-29 | ||
| 202205-0960-005 | Revision of a currently approved collection | 2022-06-03 | Approved without change | |
| 201811-0960-004 | Revision of a currently approved collection | 2019-02-18 | Approved without change | |
| 201512-0960-005 | Revision of a currently approved collection | 2016-03-18 | Approved without change | |
| 201406-0960-010 | No material or nonsubstantive change to a currently approved collection | 2014-07-15 | Approved without change | |
| 201308-0960-004 | No material or nonsubstantive change to a currently approved collection | 2013-08-14 | Approved without change | |
| 201212-0960-004 | Revision of a currently approved collection | 2013-03-22 | Approved without change | |
| 201001-0960-006 | Existing collection in use without an OMB Control Number | 2010-04-15 | Approved without change |
OMB Details
International Centenarian Project
Federal Enterprise Architecture: Income Security - General Retirement and Disability