Epidemiological Research Request

ICR 201308-0960-013

OMB: 0960-0701

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2014-01-08
Supporting Statement A
2014-01-08
ICR Details
0960-0701 201308-0960-013
Historical Active 201010-0960-004
SSA
Epidemiological Research Request
Revision of a currently approved collection   No
Regular
Approved without change 04/28/2014
Retrieve Notice of Action (NOA) 01/09/2014
  Inventory as of this Action Requested Previously Approved
04/30/2017 36 Months From Approved 04/30/2014
25 0 28
50 0 56
87,500 0 102,620

Section 311 of the Social Security Independence and Program Improvements Act of 1994 directs SSA to provide support to health researchers involved in epidemiological research. Specifically, when we determine a study contributes to a national health interest, SSA furnishes information to determine whether a study subject appears in SSA administrative records as alive or deceased (vital status). SSA charges a small fee per request for providing this information. Web-posted questions solicit the information SSA needs to provide the data and to collect the fees. The respondents are qualified health and scientific researchers who are applying to receive vital status information about individuals from Social Security administrative data records.

US Code: 5 USC 552a Name of Law: Social Security Act
   US Code: 42 USC 1306 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  78 FR 56265 09/12/2013
78 FR 79723 12/31/2013
No

2
IC Title Form No. Form Name
Epidemiological Research Request -- State and Local Government
Epidemiological Research Request -- Private Entities

  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 25 28 0 0 -3 0
Annual Time Burden (Hours) 50 56 0 0 -6 0
Annual Cost Burden (Dollars) 87,500 102,620 0 0 -15,120 0
No
No
The burden change is due to a slight decrease in the number of annual vital status requests SSA receives. Since we are receiving fewer requests, the annual burden decreased.

$115,000
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.
01/09/2014


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