Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers

ICR 201703-0960-002

OMB: 0960-0807

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supplementary Document
2017-05-25
Supporting Statement A
2017-08-14
ICR Details
0960-0807 201703-0960-002
Historical Active
SSA
Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 08/17/2017
Retrieve Notice of Action (NOA) 05/25/2017
In accordance with 5 CFR 1320, the information collection is approved for three years.
  Inventory as of this Action Requested Previously Approved
08/31/2020 36 Months From Approved
4,025,127 0 0
168,805 0 0
0 0 0

SSA uses the form SSA-8240 to collect authorization from the public to obtain their wage and employment information from payroll data providers to determine program eligibility and payment amounts. This collection is voluntary, however, failure to provide authorization may prevent SSA from making accurate and timely eligibility determinations and payments. We will request authorization on an as needed basis during contact with the individual including: (a) SSDI and SSI initial claims, (b) SSI redeterminations, and (c) SSDI Work Continuing Disability Reviews. The respondents are individuals who file for or are currently receiving SSDI or SSI payments and any person whose income and resources we count when determining an individual’s SSI eligibility or payment amount.

PL: Pub.L. 114 - 74 824 Name of Law: Bipartisan Budget Act
  
None

Not associated with rulemaking

  82 FR 13914 03/15/2017
82 FR 23695 05/23/2017
No

  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 4,025,127 0 0 4,025,127 0 0
Annual Time Burden (Hours) 168,805 0 0 168,805 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new form that increases the public reporting burden. See chart above for updated burden figures.

$8,410,803
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.
05/25/2017


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