Beneficiary Interview and Auditor's Observations

ICR 201511-0960-015

OMB: 0960-0630

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2016-02-09
Supporting Statement A
2016-03-02
IC Document Collections
IC ID
Document
Title
Status
9653 Modified
ICR Details
0960-0630 201511-0960-015
Historical Active 201301-0960-002
SSA
Beneficiary Interview and Auditor's Observations
Revision of a currently approved collection   No
Regular
Approved without change 04/11/2016
Retrieve Notice of Action (NOA) 03/02/2016
  Inventory as of this Action Requested Previously Approved
04/30/2019 36 Months From Approved 05/31/2016
1,000 0 1,000
250 0 250
0 0 0

SSA's Office of the Inspector General (OIG) collects information from Form SSA-322, the Beneficiary Interview and Auditor’s Observation form, to interview beneficiaries or their payees to determine whether they are complying with their duties and responsibilities. The respondents are randomly selects SSI recipients and 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

  80 FR 71908 11/17/2015
81 FR 6568 02/08/2016
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 1,000 1,000 0 0 0 0
Annual Time Burden (Hours) 250 250 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$22,464
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.
03/02/2016


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