SSA uses Form SSA-8-F4 to collect
information needed to authorize payment of the lump-sum death
payment (LSDP) to a widow, widower, or children as defined in
Section 202(i) of the Act. Respondents complete the application for
this one-time payment via paper form, telephone, or during an
in-person interview with SSA employees. Respondents are applicants
for the LSDP. This is a non-substantive Change Request to include
the new Preliminary Claims System screens.
US Code:
42
USC 402 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.