You Can Make Your Payment by Credit Card

Forms and Documents

Document Name	Status
Form SSA-4588 You Can Make Your Payment by Credit Card Form and Instruction	Modified
Supporting Statement--0462.doc Supporting Statement A	2006-09-11
Addendum--0462.doc Supplementary Document	2006-09-07

IC Document Collections

IC ID	Document Title	Status
9349	You Can Make Your Payment by Credit Card Form and Instruction	Modified

ICR Details

OMB Control No: 0960-0462	ICR Reference No: 200609-0960-003
Status: Historical Active	Previous ICR Reference No: 200310-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: You Can Make Your Payment by Credit Card
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/13/2006
	Date Received in OIRA: 09/14/2006
Terms of Clearance: This ICR is approved on these conditions: 1) the PRA blurb--with updated burden estimates--will be revised when this form is next printed; 2) SSA should continue to explore ways to enable these forms to be submitted electronically, through Pay.gov or other secure means; 3) within the next year, SSA will submit a plan which details the steps it will take to make this form available electronically and how long it will take to make this form available electronically.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2009	36 Months From Approved	12/31/2006
Responses	60,000	0	19,000
Time Burden (Hours)	5,000	0	1,583
Cost Burden (Dollars)	0	0	0

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Abstract: Forms SSA-4588 and SSA-4589 are used by SSA to update an individual's record to reflect that a payment has been made on their overpayment and to effectuate payment through the appropriate credit card company. The SSA-4588 is sent to overpaid individuals with an initial notice of overpayment; the SSA-4589 is sent to overpaid individuals who have been previously notified of their debt. The SSA-4589 is sent on a monthly basis until the debt is repaid. Respondents are Title II beneficiaries and Title XVI recipients who have outstanding overpayments.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: null
   US Code: 42 USC 1383 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 34180	06/13/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 53485	09/11/2006
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
You Can Make Your Payment by Credit Card	SSA-4588, SSA-4589	You Can Make Your Payment By Credit Card ,   You Can Make Your Payment By Credit Card

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ICR Summary of Burden

	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	60,000	19,000	0	0	41,000	0
Annual Time Burden (Hours)	5,000	1,583	0	0	3,417	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The annual hourly reporting burden has increased from 1,583 to 5,000 due to more individuals making payments by credit card.

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Annual Cost to Federal Government: $92,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/14/2006

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