In accordance
with 5 CFR 1320, the information collection is approved for three
years.
Inventory as of this Action
Requested
Previously Approved
11/30/2020
36 Months From Approved
10/31/2017
5,100
0
5,100
425
0
425
0
0
0
SSA uses Form SSA-4178 to collect
information necessary to determine if two unrelated individuals who
live together hold themselves out as a married couple to the
community in which they live. SSA needs this information to
determine whether we are making correct payments to couples and
individuals applying for or currently receiving Supplemental
Security Income (SSI) payments. The respondents are applicants for,
and recipients of SSI, who may be in holding themselves out as
married and the other party in that relationship holding out as
married.
US Code:
42
USC 1383 Name of Law: Social Security Act
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.