myWageReport

Forms and Documents

Document Name	Status
Supporting Statement - MyWageReport - BBA 826 (0960-NEW).docx Supporting Statement A	2019-08-27
Justification for the Non-Substantive Changes - 0808.docx Justification for No Material/Nonsubstantive Change	2019-08-30

IC Document Collections

IC ID	Document Title	Status
226987	myWageReport Other-myWageReport Screens	Modified

ICR Details

OMB Control No: 0960-0808	ICR Reference No: 201906-0960-011
Status: Historical Active	Previous ICR Reference No: 201902-0960-013
Agency/Subagency: SSA	Agency Tracking No:
Title: myWageReport
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/16/2019
	Date Received in OIRA: 08/30/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2020	08/31/2020	08/31/2020
Responses	458,000	0	458,000
Time Burden (Hours)	61,067	0	61,067
Cost Burden (Dollars)	0	0	0

---

Abstract: The myWageReport application will enable SSDI beneficiaries and representative payees to report earnings electronically. It will also generate a receipt for the beneficiary or representative payee, thus providing confirmation that SSA has received the earnings report. SSA will screen the information submitted through the myWageReport application and will determine if we need additional employment information. If so, agency personnel will reach out to beneficiaries or their representative payees and will use Form SSA-821. Work Activity Report (0960-0059), to collect the additional required information. The respondents for this collection are SSDI recipients or their representative payees. This is a non-substantive Change Request to incorporate minor updates to the myWage Report application.

---

Authorizing Statute(s): PL: Pub.L. 114 - 117 826 Name of Law: Bipartisian Budget Act
   US Code: 42 USC 423 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: PL: Pub.L. 114 - 74 826 Name of Law: Bipartisian Budget Act

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 22173	05/12/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 32431	07/13/2017
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
myWageReport

---

ICR Summary of Burden

	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	458,000	458,000	0	0	0	0
Annual Time Burden (Hours)	61,067	61,067	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The increase in burden stems from both an increase in respondents from 54,000 to 458,000 (to accommodate for the new Title XVI and concurrent users), as well as an increase in the total burden per response from 7 minutes to 8 minutes (based on current available data for both myWageReport over the past several months, as well as management information data we have for the current Title XVI mobile and telephone applications). We believe this increase in the average burden per response is more accurate; however, we will know more once we increase the respondent population (through adding the additional Title XVI and concurrent users), and build up management information data for the myWage Report application. We will update the burden during the next renewal based on the management information data we collect.

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/30/2019

---