State Death Match Collections

ICR 201403-0960-008

OMB: 0960-0700

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2014-10-06
ICR Details
0960-0700 201403-0960-008
Historical Active 201011-0960-006
SSA
State Death Match Collections
Extension without change of a currently approved collection   No
Regular
Approved with change 10/06/2014
Retrieve Notice of Action (NOA) 07/09/2014
This collection is approved based on the revised materials provided by the Agency.
  Inventory as of this Action Requested Previously Approved
10/31/2017 36 Months From Approved 10/31/2014
2,650,000 0 2,650,031
0 0 0
7,000,000 0 82,710,000

SSA uses the State Death Match Collections to ensure the accuracy of payment files by detecting unreported or inaccurate deaths of beneficiaries. Under the Social Security Act, entitlement to retirement, disability, wife's, husband's, or parent's benefits terminates when the beneficiary dies. The states furnish death certificate information to SSA via the Manual Registration Process or the Electronic Death Registration Process. Both processes are automated electronic transfers between the states and SSA. The respondents are the states' bureaus of vital statistics.

US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 402 Name of Law: Social Security Act
   US Code: 42 USC 403 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  79 FR 17632 03/28/2014
79 FR 37828 07/02/2014
No

2
IC Title Form No. Form Name
Electronic Death Registration
State Death Match - Manual
One-Time Start-Up Fee for States Using EDR

  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 2,650,000 2,650,031 0 0 -31 0
Annual Time Burden (Hours) 0 0 0 0 0 0
Annual Cost Burden (Dollars) 7,000,000 82,710,000 0 0 -75,710,000 0
No
No

$8,184
No
No
No
No
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.
07/09/2014


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