Supplemental Security Income-Quality Review Case Analysis

Forms and Documents

Document Name	Status
Form SSA-8508-BK Supplemental Security Income-Quality Review Case Analysis Form	Modified
Addendum - 0133 (Final).docx Supplementary Document	2025-06-25
Supporting Statement Part A - 0133 (Final).docx Supporting Statement A	2025-06-25
Supporting Statement Part B - 0133 (Final).docx Supporting Statement B	2025-06-25

IC Document Collections

IC ID	Document Title	Status
9113	Supplemental Security Income-Quality Review Case Analysis Form	Modified
196447	e8508 Other-e8508 Screens (Internal Screens)	Modified

ICR Details

OMB Control No: 0960-0133	ICR Reference No: 202502-0960-002
Status: Received in OIRA	Previous ICR Reference No: 201912-0960-001
Agency/Subagency: SSA	Agency Tracking No:
Title: Supplemental Security Income-Quality Review Case Analysis
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 06/25/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2025
Responses	4,300	4,600
Time Burden (Hours)	4,300	4,600
Cost Burden (Dollars)	0	0

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Abstract: To assess the Supplemental Security Income (SSI) program and ensure the accuracy of its payments, SSA conducts legally mandated periodic SSI case analysis quality reviews. SSA uses Form SSA-8508 to conduct these reviews, collecting information on operating efficiency; the quality of underlying policies; and the effect of incorrect payments. SSA also uses the data to determine SSI program payment accuracy rates, which is a performance measure for the agency's service delivery goals. The respondents are recipients of SSI payments selected for the quality reviews.

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Authorizing Statute(s): US Code: 42 USC 1382 Name of Law: Social Security Act
   US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 1383 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:
	90 FR 11771	03/11/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 21817	05/21/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Supplemental Security Income-Quality Review Case Analysis	SSA-8508-BK	Supplemental Security Income--Quality Review Case Analysis
e8508

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ICR Summary of Burden

	Total Request	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	4,300	4,600	0	0	-300	0
Annual Time Burden (Hours)	4,300	4,600	0	0	-300	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: Previously we reported a burden of 4,600; however, we are currently reporting a burden of 4,300 hours, showing a 300-hour decrease. This decrease is due to a normal fluctuation in the number of SSI cases. To monitor the accuracy and effectiveness of the SSI program efficiently, we need to decrease or increase the number of cases we review for this collection based on the total number of SSI cases. Based on current MI data, we are decreasing the burden at this time. Although the number of responses changed, SSA did not take any actions to cause this change. These figures represent current MI data.

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Annual Cost to Federal Government: $1,595,964

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? No

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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: 06/25/2025

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