SSA uses Form SSA-7011-F4 to
substantiate allegations that earnings posted to the individuals
security record are incorrect, wages paid to the individual do not
appear in SSAs records of earnings, or the individual has no proof
of said earnings. SSA uses the information received on this form to
process claims for social security benefits and to resolve
discrepancies in the individuals social security earnings record.
We only send Form SSA-7011-F4 to employers if we deem it necessary;
in many situations, we are able to locate the earnings information
within our records, without having to contact the employer. The
respondents are certain employers who can verify wage allegations
made by the wage earners.
US Code:
42
USC 405 Name of Law: Social Security Act
The reduction in burden hours
stems from a decrease in the number of respondents. In addition,
employers' increase use of electronic reporting during the Annual
Wage reporting process increased the speed at which SSA posts
earnings, recognizes, and corrects errors in employer reports.
Consequently, the incidence of erroneous postings on SSA's earnings
records substantially decreased within the past three years.
Finally, within the past several years, SSA streamlined development
requirements for identifying and resolving potential earnings
errors when an individual contacts SSA alleging incorrect earnings
on their record. As a result, we decreased use of form
SSA-7011.
$1,428,000
No
No
No
No
No
Uncollected
Faye Lipsky 410 965-8783
faye.lipsky@ssa.gov
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:
(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.