Beneficiary Interview and Auditor's Observations

ICR 201002-0960-019

OMB: 0960-0630

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2010-03-30
Supporting Statement A
2010-04-20
IC Document Collections
IC ID
Document
Title
Status
9653 Modified
ICR Details
0960-0630 201002-0960-019
Historical Active 200702-0960-003
SSA
Beneficiary Interview and Auditor's Observations
Revision of a currently approved collection   No
Regular
Approved without change 07/02/2010
Retrieve Notice of Action (NOA) 04/29/2010
  Inventory as of this Action Requested Previously Approved
07/31/2013 36 Months From Approved 08/31/2010
200 0 200
50 0 50
0 0 0

SSA’s Office of the Inspector General (OIG) will use the information collected through Form SSA-322, the Beneficiary Interview and Auditor’s Observation form, to interview beneficiaries and /or their payees to determine if they are complying with their duties and responsibilities. SSA will randomly select SSI recipients Social Security beneficiaries who have representative payees as respondents for this collection.

US Code: 42 USC 405 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  75 FR 3778 01/22/2010
75 FR 15761 03/30/2010
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

$4,279
No
No
No
Uncollected
No
Uncollected
Faye Lipsky 410 965-8783 faye.lipsky@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.
04/29/2010


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