SSA-8150_supporting_statement_(0960-0128)

SUPPORTING STATEMENT FOR FORM SSA-8150

REPORTING EVENTS - SSI

20 CFR 416.701-.732

OMB No. 0960-0128

A. Justification

1. If SSI recipients experience income, resource, living arrangement, medical, or other changes that could affect their SSI eligibility or SSI payment amounts, they or their representatives must report these changes to the Social Security Administration (SSA). They use Form SSA-8150, the Reporting Events – SSI form, to do so. Section 1631(e) of the Social Security Act gives SSA the right to collect information to determine SSI eligibility and amounts. Sections 20 CFR 416.701-416.732 of the Code of Federal Regulations describe the types of changes SSI recipients should report, the reporting modalities they can use, and the possible penalties for failing to report eligibility-changing events.

2. SSI recipients or their representatives use Form SSA-8150 to report any relevant changes in their circumstances. SSA then uses this information to determine if SSI eligibility or the amount of payment should change.

3. SSA did not develop an electronic version of Form SSA-8150 under the Agency’s Government Paperwork Elimination Act (GPEA) plan because the forms’ number of respondents is less than the 50,000-person GPEA baseline. However, respondents do have alternatives to completing this paper form, including calling, writing to, faxing, or visiting an SSA field office.

4. We do not collect duplicate information. There is no other collection instrument used by SSA that collects data similar to that collected here.

4. This collection does not significantly affect small businesses or other small entities.

4. If SSA did not use this information collection, it would have no means of redetermining SSI eligibility or payment amounts when SSI recipients experience circumstantial changes. This could result in 1) underpayment or overpayment of benefits or 2) suspension of benefits for SSI recipients who could not report eligibility-affecting changes. Respondents submit this form only when a change occurs. Therefore, SSA cannot collect it less frequently.

There are no technical or legal obstacles that prevent burden reduction.

4. This information collection complies with 5 CFR 1320.5.

4. SSA published the 60-day Federal Register Notice on January 7, 2008, at 73 FR 1253, and we did not receive any public comments in response to this Notice. SSA published the 30-day Federal Register Notice on February 29, 2008 at 73 FR 11185. If we receive any public comments in response to the 30-day Notice, we will forward them to OMB. SSA did not consult with the public in the development or maintenance of this form.

4. SSA provides no payment or gifts to the respondents.

4. The information requested is protected and held confidential in accordance with 42 U.S.C. 1306, 20 CFR 401 and 402, 5 U.S.C. 552 (Freedom of Information Act), 5 U.S.C. 552a (Privacy Act of 1974) and OMB Circular No. A-130.

4. The information collection does not contain any questions of a sensitive nature.

4. Approximately 27,320 respondents spend 5 minutes each completing Form SSA-8150 annually, for a total of 2,277 burden hours. The total burden is reflected as burden hours, and no separate cost burden has been calculated.

4. There is no known cost burden to the respondents.

4. The annual cost to the Federal Government is approximately $46,477. This estimate is a projection of the costs for printing and distributing the collection instrument and for collecting the information.

4. The public reporting burden for Form SSA-8150 has decreased by 2,860 hours because of a decrease in the number of respondents. However, there is no attributable cause for this decrease.

4. SSA will not publish the results of the information collection.

4. OMB has granted SSA an exemption from the requirement that the expiration date for OMB approval be printed on its program forms. SSA produces millions of public-use forms, many of which have a life cycle longer than that of an OMB approval. SSA does not periodically revise and reprint its public-use forms (e.g., on an annual basis). OMB granted this exemption so that otherwise useable editions of forms could continue to be used. In addition, Government waste has been avoided because stocks of forms will not have to be destroyed and reprinted.

4. SSA is not requesting an exception to the certification requirements at 5 CFR 1320.9 and related provisions at 5 CFR 1320.8(b)(3).

2. Collections of Information Employing Statistical Methods

Statistical methods are not used for this information collection.

SSA-8150 (0960-0128)

2/4/2021

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