View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0960-0369
ICR Reference No:
200805-0960-025
Status:
Historical Active
Previous ICR Reference No:
200609-0960-014
Agency/Subagency:
SSA
Agency Tracking No:
Title:
Annual Earnings Test Direct Mail Follow-up Program Notices
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
07/24/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/30/2008
Terms of Clearance:
The description under "Your Monthly Earnings" on form SSA-L9790 was modified to specify that the earnings in question are before taxes.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2011
36 Months From Approved
12/31/2009
Responses
460,000
0
225,000
Time Burden (Hours)
76,667
0
37,500
Cost Burden (Dollars)
0
0
0
Abstract:
The Mid-Year Mailer ensures that Social Security payments are correct. Beneficiaries under full retirement age (FRA) use Forms SSA-L9778, SSA L9779, and SSA-L9781 to update their current year estimate and their estimate for the following year. Beneficiaries use Mid-year Mailer forms SSA-L9784 and SSA L9785 to request earnings estimates in the year of FRA for the period prior to the month of FRA. Recently, SSA designed the new Form SSA-L9790 for beneficiaries to use to report earnings information at the end of the year. The respondents are working Retirement Survivors Insurance beneficiaries with earnings over the exempt amount.
Authorizing Statute(s):
US Code:
42 USC 403
US Code:
42 USC 405
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
73 FR 16734
03/28/2008
30-day Notice:
Federal Register Citation:
Citation Date:
73 FR 30656
05/28/2008
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Annual Earnings Test-Direct Mail Follow-up Program Notices
SSA-L9778, SSA-L9779, SSA-L9781, SSA-L9784, SSA-L9785, SSA-L9790
Retirement, Survivors and Disability Insurance: Earnings Estimate Form
,
Retirement, Survivors and Disability Insurance: Earnings Estimate Form
,
Retirement, Survivors and Disability Insurance: Earnings Estimate Form
,
Retirement, Survivors and Disability Insurance: Earnings Estimate Form
,
Retirement, Survivors and Disability Insurance: Earnings Estimate Form
,
Retirement, Survivors and Disability Insurance: Earnings Estimate Form
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
460,000
225,000
0
49,000
186,000
0
Annual Time Burden (Hours)
76,667
37,500
0
8,167
31,000
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The public reporting burden has increased from 37,500 to 76,667 burden hours because of the overall increased usage of forms SSA-L9778-L9785 and the addition of the new form SSA-L9790.
Annual Cost to Federal Government:
$47,000
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
Agency Contact:
Elizabeth Davidson 411-965-0454 liz.davidson@ssa.gov
Common Form ICR:
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:
(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:
05/30/2008
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