Beneficiary Interview and Auditor's Observations

ICR 200702-0960-003

OMB: 0960-0630

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2007-08-14
Supporting Statement A
2007-08-14
IC Document Collections
IC ID
Document
Title
Status
9653 Modified
ICR Details
0960-0630 200702-0960-003
Historical Active 200405-0960-001
SSA
Beneficiary Interview and Auditor's Observations
Extension without change of a currently approved collection   No
Regular
Approved with change 08/16/2007
Retrieve Notice of Action (NOA) 05/21/2007
This ICR is approved consistent with the memo of August 14, 2007 and on the understanding that roughly 95% of the interviewees are beneficiaries themselves, not their rep payees. SSA agrees to add a check box to the IC so that the interviewer/auditor can affirmatively indicate whether the respondent is the beneficiary or the rep payee. Upon resubmission, SSA should include in the supporting statement information about the percentage of interviewees who were beneficiaries and the percentage who were rep payees.
  Inventory as of this Action Requested Previously Approved
08/31/2010 36 Months From Approved 08/31/2007
200 0 200
50 0 50
0 0 0

The information collected through the Beneficiary Interview and Auditor's Observations form will be used by SSA's Office of the Inspector General (OIG) to interview beneficiaries and/or their care givers to determine whether representative payees are complying with their duties and responsibilities. Respondents to this collection will be randomly selected Supplemental Security Income recipients and Social Security beneficiaries that have representative payees.

US Code: 42 USC 405 Name of Law: null
  
None

Not associated with rulemaking

  72 FR 12244 03/15/2007
72 FR 26443 05/09/2007
No

1
IC Title Form No. Form Name
Beneficiary Interview and Auditor's Observations SSA-322 Beneficiary Interview and Auditor's Observations

  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 200 200 0 0 0 0
Annual Time Burden (Hours) 50 50 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$3,080
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Elizabeth Davidson 411-965-0454 liz.davidson@ssa.gov

  No

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.
05/21/2007


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