View Information Collection Request (ICR) Package
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0960-0425
ICR Reference No:
200809-0960-004
Status:
Historical Active
Previous ICR Reference No:
200512-0960-003
Agency/Subagency:
SSA
Agency Tracking No:
Title:
Coverage of Employees of State and Local Governments
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 without change
Conclusion Date:
04/28/2009
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/27/2009
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2012
36 Months From Approved
04/30/2009
Responses
173
0
482
Time Burden (Hours)
159
0
434
Cost Burden (Dollars)
0
0
0
Abstract:
The Code of Federal Regulations at 20 CFR 404 prescribe the rules for States submitting reports of deposits and related recordkeeping to SSA. States (and interstate instrumentalities) are required to provide wage information and deposit- related contribution information for pre-1987 periods. The respondents are State and local governments or interstate instrumentalities.
Authorizing Statute(s):
US Code:
42 USC 405
US Code:
42 USC 410
US Code:
42 USC 418
US Code:
42 USC 902
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 53919
09/17/2008
30-day Notice:
Federal Register Citation:
Citation Date:
74 FR 2643
01/15/2009
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
14
IC Title
Form No.
Form Name
20 CFR 404.1203 Evidence
20 CFR 404.1204 Designating Officials to Act on Behalf of the State
20 CFR 404.1214 Agreement for Coverage
20 CFR 404.1215 Modification of Agreement
20 CFR 404.1216 Modification of Agreement to Correct an Error
20 CFR 404.1225 Records - for Wages Paid Prior to 1987
20 CFR 404.1237, Wage Reports.
20 CFR 404.1239 Wage Reports for Employees Performing Services in More than One Coverage Group - for Wages Paid Prior to 1987.
20 CFR 404.1247 When to Report Wages - for Wages Paid Prior to 1987
20 CFR 404.1249 When and Where to Make Deposits of Contributions and to File Contribution Returns and Wage Reports - for Wages Paid Prior to 1987
20 CFR 404.1265 Addition of Interest to Contributions
20 CFR 404.1271 Adjustment of Overpayment of Contributions
20 CFR 404.1272 Refund or Recomputation of Overpayments which are Not Adjustable
20 CFR 404.1292 How to Request Review for Wages Paid Prior to 1987
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
173
482
0
0
-309
0
Annual Time Burden (Hours)
159
434
0
0
-275
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:
Because ROCIS now allows us to separate the regulations into separate information collections, we are reporting the burdens per Regulation Section. In addition, we have removed several of the Reglations Sections that are coverd under other OMB information collections/SSA forms (see Addendum for specific information). Finally, Internal Revenue Service (IRS) forms (i.e., information collections cleared by IRS), are used to collect the information under several of the Regulations Sections (see Addundum for specific Sections); we have adjusted the burden to reflect this, placing a 1-hour place holder burden on those Sections.
Annual Cost to Federal Government:
$10,000
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)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
John Biles 410 965-3758 John.Biles@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:
02/27/2009
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.