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OMB Control No: 0960-0561	ICR Reference No: 202506-0960-002
Status: Received in OIRA	Previous ICR Reference No: 202503-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Modified Benefit Formula Questionnaire-Foreign Pension
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 06/27/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	2,081	2,465
Time Burden (Hours)	1,561	1,643
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	2,081	2,465	-384
Annual Time Burden (Hours)	1,561	1,643	-82
Annual Cost Burden (Dollars)	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 2021, the burden was 2,465 hours. However, we are currently reporting a burden of 5,631 hours. This change mainly stems from a decrease in respondents using form SSA-308. We anticipate a drastic decline in the number of responses to this form going forward due to the implementation of the SSFA. Since we are no longer collecting WEP data for initial awards payable beginning January 2024, the collection of this data will soon be obsolete. Note: The total burden reflected in ROCIS is 1,561, while the burden cited in #12 of the Supporting Statement is 1,041. This discrepancy is because the ROCIS burden reflects the learning costs. In contrast, the chart in #12 of the Supporting Statement reflects actual burden.

Annual Cost to Federal Government: $1,394,878

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

Agency Contact: Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov