Justification for Non-Substantive Changes for SSA-L4112

Justification for Non-Substantive Changes for SSA-L4112

Employer Verification of Earnings After Death

Citations: 20 CFR 404.821 and 404.822

OMB No. 0960-0472

Background:

When SSA records show a wage earner is deceased, and we receive wage reports from an employer for the wage earner for a year subsequent to the year of death, SSA mails the employer Form SSA-L4112 (Employer Verification of Earnings After Death). SSA uses the information Form SSA-L4112 provides to verify the wage information previously received from the employer is correct for the employee and the year in question (the year subsequent to the year of death), to ensure we avoid wage fraud on the deceased’s account. We are making revisions to correct the name of the operation center on the return address. We were unable to make these changes in the prior clearance, because we were not aware of the name change for the division that processes this form.

Revisions to SSA-L4112

• Change #1: We are updating the return address on page 1 of the form.

Current Language:

Social Security Administration

Data Operations Center

P.O. Box 80, Wilkes Barre, PA 18767-0080.

Revised Language;

Social Security Administration

Wilkes-Barre Direct Operations Center

P.O. Box 80, Wilkes Barre, PA 18767-0080.

Justification #1: We are updating the operation center name so the public can return the information we request to the correct operations center in a timely manner.

SSA will implement the changes to the SSA-177 upon OMB’s approval.

This action does not affect the public reporting burden.