The information collected by Form
SSA-24 is needed to satisfy the "Joint Prescribed Application" of
Title 38 USC 5105. That provision requires that survivors who file
with either SSA or the VA shall be deemed to have filed with both
agencies, and that each agency's forms must request sufficient
information to constitute an application for both SSA and VA
benefits. The respondents are survivors of members or former
members of the armed services.
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:
(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;
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.