Form SSA-8060-U3 is used by SSA to
document and ensure that individuals or couples who are otherwise
eligible for SSI payments, but wh own in excess of the statutory
limit, may receive conditional benefit payments if they agree to
dispose of the excess resources and repay any overpayments with the
disposition proceeds. The form is also used to ensure that the
individuals understand their obligations under the agreement. The
respondents are individuals (or couples) who are receiving (or will
receive) conditional SSI payments.
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.