Telephone Survey of SSA Title II Widow(er) Beneficiaries Over the Age 70

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
9568	Telephone Survey of SSA Title II Widow(er) Beneficiaries Over the Age 70	Migrated

ICR Details

OMB Control No: 0960-0592	ICR Reference No: 199806-0960-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: Telephone Survey of SSA Title II Widow(er) Beneficiaries Over the Age 70
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 06/18/1998
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/19/1998
	Date Received in OIRA: 06/04/1998
Terms of Clearance: This emergency information collection is approved under the following condition: SSA shall add a new question 2 to determine whether the respondent understood the letter, with a follow-up question, as necessary, to determine the nature of the confusion. SSA shall also include in the sample, a subset of beneficiaries who did file for the higher retirement benefit. SSA shall craft a separate survey for the subsample to determine whether they received the letter, and what the factors were that led them to file for the higher benefit. SSA shall submit these revisions for OMB review as an addendum to this clearance package.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/1998	12/31/1998
Responses	390	0	0
Time Burden (Hours)	65	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: SSA will survey a sample of widow(er) beneficiaries over the age of 70 to determine whether they would file for the higher retirement benefit for which they appear eligible if the opportunity to file for this benefit was explained in a personal contact. The information collected will provide the basis for determining whether some or all of the approximately 23,000 beneficiaries should be personally contacted. The respondents are a sample of over age 70 SSA title II beneficiaries who are eligible to receive a higher retirement benefit.

Emergency Justfication:

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

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
Telephone Survey of SSA Title II Widow(er) Beneficiaries Over the Age 70

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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	390	0	0	390	0	0
Annual Time Burden (Hours)	65	0	0	65	0	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:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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

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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: 06/04/1998

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