SSIMWR Screens (current)

Screen Images and Interactions
Access Code Entry – To be removed in September 2013

The Access Code was
used to control who
downloaded the app
during the pilot phase.
For national release,
there will not be an
access code. Through
our pilot, we learned
that users were
frustrated with
entering an access
code. Executives made
the decision to remove
it completely.
These changes will
occur upon OMB
approval.

Terms of Service

Since the Access Code
screen is going to be
removed, this will be
the new first screen
the user sees The OMB
number, Paperwork
Reduction Act link,
Privacy Policy link, and
FAQs link from the
Access Code screen are
now displayed on the
TOS screen.
These changes will
occur upon OMB
approval.

Full Terms of Service wording:
•
•
•

I understand that this application contains U.S. Government information.
I consent to the monitoring of my use of this application to ensure its appropriate use.
I understand that it is a federal crime to:
· Give false or misleading statements to obtain information in Social Security records; or
· Deceive the Social Security Administration of an individual’s identity.

•

•
•

I understand that unauthorized use of, or access to, this application may subject me to criminal
or civil penalties, or both.
I understand that if I am submitting wages for someone else, I must have his or her permission
to do so.
I understand that Social Security may stop me from using this service if it finds or suspects
misuse.

Enter PII
1st Appearance of Screen
(Before Errors - Empty)

2nd / 3rd Appearance of Screen
(After Errors - prepopulated)

Changed page title
from “Verify” to” Tell
Us Who You Are”.
Added text “Provide
information about
yourself.”
Both of these changes
were made to help the
user understand whose
information to enter.
These changes will
occur upon OMB
approval.

Confirm PII
Standard Name Display

With Other Last Name Displayed

Changed page title
from “Confirm” to
“Confirm Your
Information”.
This minor change was
made to help the user
understand they are to
confirm their own
inforamtion.
These changes will
occur upon OMB
approval.

Reporting Path Choice

Changed wording from
“I am reporting wages
for” to “I am reporting
wages earned by.”
This change was made
to help the user
understand they are
reporting wages
earned.
These changes will
occur upon OMB
approval.

Wage Entry for Self

Changed page title
from “Enter Wages” to
“Enter Your Wages.”.
Added “gross” and
definition of gross
wages.
These changes were
made to help the user
understand that they
are to enter their own
gross wages.
These changes will
occur upon OMB
approval.

Confirm Wage Report for Self

Changed page title
from “Confirm Wage
Report” to “Confirm
Your Wages.”.
Added the word
“gross.”
These changes were
made to help the user
understand they were
confirming their own
gross wages.
These changes will
occur upon OMB
approval.

Enter Wages
1st Appearance of Screen
(Before Errors - Empty)
Changed first sentence
from “Social Security
number of the person
you are reporting for”
to Social Security
number of the person
who earned wages.”
Added the word
“gross” and the
sentence about gross
wages.
Both of these changes
were made to help the
user understand whose
information to enter
and that gross wages
should be reported.
These changes will
occur upon OMB
approval.

2nd / 3rd Appearance of Screen
(After Errors - prepopulated)

Changed first sentence
from “Social Security
number of the person
you are reporting for”
to Social Security
number of the person
who earned wages.”
Added the word
“gross” and the
sentence about gross
wages.
Both of these changes
were made to help the
user understand whose
information to enter
and that gross wages
should be reported.
These changes will
occur upon OMB
approval.

Confirm Wage Report for Other

Changed page title
from “Confirm SSN” to
“Confirm SSN and
Wages.”
This change was made
because users were
confirming both SSN
and wages, so the title
should reflect that.
This change will occur
upon OMB approval.

Interim Successful Submission- No changes

Final Successful Submission – Within GK Dates

Changed text from “May
wages may be reported
from June 1 to June 9.” to
“Please report May
wages between June 1
and June 9.”
Added sentence with link
below Log Out button.
The second sentence was
changed to make the
language softer. The
sentence at the bottom
of the screen was added
to provide the user with a
new reminder option to
provide better customer
service
This change will occur
upon OMB approval.

Final Successful Submission – Outside GK Dates

Added sentence
beginning with “Because
we received…”
Added sentence
beginning with “We will
mail a notice…”
Changed text from “May
wages may be reported
from June 1 to June 9.” to
“Please report May
wages between June 1
and June 9.”
Added sentence with link
below Log Out button.
These changes were
made to meet the
requirements of the GK
enhancements to be
released on 9/28/13.
The sentence at the
bottom of the screen was
added to provide the
user with a new reminder
option to provide better
customer service
This change will occur
upon OMB approval.

Log Out Confirmation

Added last sentence with
link.
The sentence at the
bottom of the screen was
added to provide the
user with a new reminder
option to provide better
customer service
This change will occur
upon OMB approval.

Privacy Act Statement

Full Privacy Act Statement Wording:
Title 5 U.S.C. sections 205(a) and 1631(e), and Executive Order 9397, as amended, authorize us to
collect this information. We will use the information you provide to determine eligibility for Supplemental
Security Income.
Furnishing us this information is voluntary. However, failure to provide all or part of the information could prevent
us from making an accurate and timely decision on Supplemental Security Income benefits.

We rarely use the information you supply for any purpose other than for making a determination relating
to Supplemental Security Income benefits. However, we may use it for the administration and integrity of
Social Security programs. We may also disclose information to another person or to another agency in
accordance with approved routine uses, which include but are not limited to the following:
1.
2.

To enable a third party or an agency to assist Social Security in establishing rights to Social Security
benefits and/or coverage;
To comply with Federal laws requiring the release of information from Social Security records (e.g., to
the Government Accountability Office and Department of Veterans’ Affairs);

3.
4.

To make determinations for eligibility in similar health and income maintenance programs at the
Federal, State, and local level; and,
To facilitate statistical research, audit, or investigative activities necessary to assure the integrity and
improvement of Social Security programs (e.g., to the Bureau of the Census and private concerns
under contract to Social Security).

We may also use the information you provide in computer matching programs. Matching programs compare our
records with records kept by other Federal, State, or local government agencies. Information from these matching
programs can be used to establish or verify a person’s eligibility for federally-funded or administered benefit
programs and for repayment of payments or delinquent debts under these programs.

A complete list of routine uses for this information is available in Systems of Records Notice entitled,
Supplemental Security Income Record, 60-0103. This notice, additional information, and information
regarding our programs and systems, are available on-line at www.socialsecurity.gov or at your local
Social Security office.

Paperwork Reduction Act-No changes

Full Paperwork Reduction Act Wording:
This information collection meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the
Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office
of Management and Budget control number. We estimate that it will take about 5 minutes to read the
instructions, gather the facts, and answer the questions.
You may send comments on our time estimate above to: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401.
Send only comments relating to our time estimate to this address, not the completed report.
The OMB control number for the Supplemental Security Income Telephone Wage Reporting System and the
associated instructions package is 0960-0715; expiration date 07/31/2013.

Error Message Screens
Wage Reporting Period Closed – To be removed in September 2013

Because of the GK
enhancements release
scheduled on 9/28/13,
users will be able to
report their wages any
day of the month, and
will not be stuck to a
certain timeframe.

This change will occur
upon OMB approval.

Service Unavailable- No changes

Cannot Connect- No changes

Access Code Error: 1st and 2nd Strikes – To be removed in Sept 2013

Because the Access
Code screen will be
removed, we no longer
need this error
message.

This change will occur
upon OMB approval.

Access Code Error: 3rd Strike – To be removed in September 2013

Because the Access
Code screen will be
removed, we no longer
need this error
message.

This change will occur
upon OMB approval.

In-line Field Error (example)- No changes

Verification/Exclusion Check Error: 1st and 2nd Strikes- No changes

Verification/Exclusion Check Error: 3rd Strike- No changes

Terms of Service Refusal- No changes

Time Out Warning— No changes

Time Out Error—No changes

Close This App Warning---No changes