Supporting Statement for Forms SSA-1712, Notice of Reclamation -Canada Payment Made in United States, and SSA-1713, Statement of Reclamation Action
OMB No. 0960-0734
Justification
Introduction/Authoring Laws and Regulations
31 CFR 210 of the Code of Federal Regulations, which is the Federal Government Participation in the Automated Clearing House, covers the ability to send payments to Canada, as well as the reclamation of funds paid erroneously to a Canadian Financial Institution after the death of the Social Security beneficiary. Form SSA-1712 (Notice of Reclamation- Canada Payment Made in United States) or SSA-1712-CN (Notice of Reclamation- Canada Payment made in Canada) is the cover sheet used when submitting Form SSA-1713.
Description of Collection
SSA uses form SSA-1713 to collect information to determine if a Canadian bank is able to return erroneous payments, and to determine how and when it can return the payments made after the death of a recipient who elects to have payments sent to Canada.
Form SSA-1712 (Notice of Reclamation-Canada Payment Made in the United States), or SSA-1712 CN (Notice of Reclamation-Canada Payment made in Canada) is the cover sheet SSA prepares to request return of a payment erroneously made after the death of the recipient. SSA sends Form SSA-1712 with Form SSA-1713. Businesses and Non-Profits fill out the same forms. The respondents are Canadian Financial Institutions who received Social Security payments. When Federal Reserve Bank of New York (FRBNY) is responsible for reclaiming an improper payment sent to Canada, FRBNY uses a similar form, which they designed for this purpose. However, SSA’s Office of International Operations (OIO) is responsible for the reclamation when:
The outstanding amount is less than $100, or
FRBNY has already made two unsuccessful attempts to reclaim the funds through the FI, or
FRBNY has already reclaimed a portion of the funds, but some of the erroneously paid money remains outstanding.
If the bank is the entity that reported the death via a returned payment, SSA does not request forms SSA-1712 and SSA-1713.
Use of Information Technology to Collect the Information
Due to the low volume of respondents and the infrequency of use, form SSA-1712 and SSA-1713 an electronic version is not available. SSA did not create an electronic version of form SSA-1712 and form SSA-1713 under the agency’s Government Paperwork Elimination Act (GPEA) plan because only 25,000 respondents complete the form. This is less than the GPEA cut-off of 50,000.
Why We Cannot Use Duplicate Information
The nature of the information we are collecting and the manner in which we are collecting it preclude duplication. SSA does not use another collection instrument to obtain similar data.
Minimizing Burden on Small Respondents
This collection does not significantly affect small businesses or other small entities.
Consequence of Not Collecting Information or Collecting it Less Frequently
If SSA did not collect the information, we would not be able to track erroneous payments sent to financial institutions in Canada. In addition, since SSA collects this information on an as needed basis, we cannot collect it less frequently. There are no technical or legal obstacles that prevent burden reduction.
Special Circumstances
There are no special circumstances that would cause SSA to conduct this information collection in a manner inconsistent with 5 CFR 1320.5.
Solicitation of Public Comment and Other Consultations with the Public
SSA published the 60-day advance Federal Register Notice on July 10, 2009, at 74 FR 33313, and SSA has received no public comments. SSA published the second Notice was published on September 24, 2009, at 74 FR 48795, and SSA has received no public comments. There have been no outside consultations with members of the public.
Payment or Gifts to Respondents
SSA provides no payments or gifts to the respondents.
Assurances of Confidentiality
SSA protects and holds confidential the information it collects 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.
Justification for Sensitive Questions
The information collection does not contain any questions of a sensitive nature.
Estimates of Public Reporting Burden
Approximately 15 respondents (8 business respondents and 7 non-profit respondents) take 5 minutes each to complete form SSA-1712 and SSA-1713 each year. Accordingly, the burden is 1 hours. This figure represents burden hours and we did not calculate a separate cost burden.
Annual Cost to the Respondents (Other)
This collection does not impose a known cost burden to the respondents
Annual Cost To Federal Government
The annual cost to the Federal Government is approximately $23. This estimate is a projection of the costs for printing and distributing the collection instrument and for collecting the information.
Program Changes or Adjustments to the Information Collection Request
There are no changes to the public reporting burden.
Plans for Publication Information Collection Results
SSA will not publish the results of the information collection.
Displaying the OMB Approval Expiration Date
OMB granted SSA an exemption from the requirement to print the OMB expiration date on its program forms. SSA produces millions of public-use forms with life cycles exceeding those of an OMB approval. Since SSA does not periodically revise and reprint its public-use forms (e.g., on an annual basis), OMB granted this exemption so SSA would not have to destroy stocks of otherwise useable forms with expired OMB approval dates, avoiding Government waste.
Exceptions to Certification Statement
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).
B. Collections of Information Employing Statistical Methods
SSA does not use statistical methods for this information collection.
| File Type | application/msword |
| File Title | International Direct Deposit |
| Author | 318413 |
| Last Modified By | Davidson, Liz |
| File Modified | 2009-10-01 |
| File Created | 2009-10-01 |