Beneficiary Recontact Report

Forms and Documents

Document Name	Status
Form SSA-1588-OCR-SM Beneficiary Recontact Report Form	Modified
SSA-1588-OCR-SM.pdf Supplementary Document	2007-05-31
Addendum--0502.doc Supplementary Document	2007-05-31
Supporting Statement--0502.doc Supporting Statement A	2007-06-14

IC Document Collections

IC ID	Document Title	Status
9402	Beneficiary Recontact Report Form	Modified

ICR Details

OMB Control No: 0960-0502	ICR Reference No: 200705-0960-019
Status: Historical Active	Previous ICR Reference No: 200405-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Beneficiary Recontact Report
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/22/2007
	Date Received in OIRA: 06/15/2007
Terms of Clearance: This ICR is approved without change. However, upon next submission, SSA will consider using skip patterns on the form so that it is more clear to the respondent which questions he/she needs to answer depending on their responses to "screening" questions (questions 1a, 1c and 2a). Because this form is a high-volume collection, SSA will have also investigated ways to make this form available electronically. Upon resubmission, the form should either be available electronically or SSA will discuss in the supporting statement the possible alternatives it explored and why there were not feasible. This discussion should go beyond a declaration of limited resources and explain why, despite being a high-volume ICR, this ICR is not considered a high priority for electronic availability. The discussion should also include information about the criteria SSA uses to determine which ICRs are high priority and will therefore be made available electronically.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2010	36 Months From Approved	08/31/2007
Responses	133,400	0	133,400
Time Burden (Hours)	11,117	0	11,117
Cost Burden (Dollars)	0	0	0

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Abstract: SSA must ensure that eligibility for benefits continues after entitlement. Studies show that mothers/fathers who marry fail to report the marriage and or the fact that they no longer have a child entitled in their care. SSA uses the SSA-1588-OCR-SM to ask mothers/fathers about their marital status and children in care to detect overpayments and avoid continuing payment to those no longer entitled. Respondents are recipients of Survivor mother/father Social Security benefits.

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Authorizing Statute(s): US Code: 42 USC 402 Name of Law: null
  

Citations for New Statutory Requirements: None

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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:
	72 FR 13851	03/23/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 32697	06/13/2007
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Beneficiary Recontact Report	SSA-1588-OCR-SM	Beneficiary Recontact Report

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ICR Summary 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	133,400	133,400	0	0	0	0
Annual Time Burden (Hours)	11,117	11,117	0	0	0	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:

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Annual Cost to Federal Government: $250,490

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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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: 06/15/2007

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