Beneficiary Recontact Report

Forms and Documents

Document Name	Status
Form SSA-1588 Beneficiary Recontact Report Form and Instruction	Modified
Addendum - 0502.docx Supplementary Document	2019-07-23
Supporting Statement - 0502.docx Supporting Statement A	2019-07-23

IC Document Collections

IC ID	Document Title	Status
9402	Beneficiary Recontact Report Form and Instruction	Modified

ICR Details

OMB Control No: 0960-0502	ICR Reference No: 201903-0960-005
Status: Active	Previous ICR Reference No: 201903-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Beneficiary Recontact Report
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/18/2019
	Date Received in OIRA: 07/29/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2022	36 Months From Approved	10/31/2019
Responses	76,944	0	94,364
Time Burden (Hours)	6,412	0	7,864
Cost Burden (Dollars)	0	0	0

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Abstract: SSA investigates recipients of disability payments to determine their continuing eligibility for payments. Research indicates recipients may fail to report circumstances that affect their eligibility. Two such cases are: (1) When parents receiving disability benefits for their child marry; and (2) the removal of an entitled child from parents’ care. SSA uses Form SSA-1588-SM to ask mothers or fathers about both their marital status, and children currently under their care, to detect overpayments and to avoid continuing payment to those no longer entitled. Form SSA-1588-SM is a pre-filled form; SSA completes certain fields electronically before we send it to the recipient. SSA sends Form SSA-1588-SM to widowers, once a year for the first three years after entitlement, then six years after entitlement, and then nine years after entitlements. SSA employees then evaluate the information listed on the form for program compliance. Respondents are recipients of mothers’ or fathers’ Social Security benefits.

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Authorizing Statute(s): US Code: 42 USC 402 Name of Law: Social Security Act
  

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:
	84 FR 18913	05/02/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 34469	07/18/2019
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
Beneficiary Recontact Report	SSA-1588	Beneficiary Recontact Report

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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	76,944	94,364	0	0	-17,420	0
Annual Time Burden (Hours)	6,412	7,864	0	0	-1,452	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: When we last cleared this IC in 2016, the burden was 7,864 hours. However, we are currently reporting a burden of 6,412 hours. This change stems from a decrease in the number of responses from 94,364 to 76,944. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change.

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Annual Cost to Federal Government: $250,000

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 07/29/2019

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