SSA uses Form SSA-L5061 to obtain
rental subsidy information, which enables the agency to determine
and verify an income value for these subsidies. We use this income
value to determine eligibility for SSI, and to calculate the
correct amount of SSI payable to the claimant. SSA bases an
individual’s eligibility for SSI payments, in part, on the amount
of countable income the individual receives. Income includes
in-kind support and maintenance in the form of room or rent, such
as a subsidized rental arrangement. SSA requires claimants to
assist in obtaining this information to prevent a delay or
overpayment with their SSI payments. We collect this information
only if the SSI applicant or recipient is the parent or child of
the landlords (respondent). For most respondents, we collect this
information once per year or less, via telephone or face-to-face
personal interview. The Claim Specialist (CS) records the
information in our SSI Claims System, and we require verbal
attestation in lieu of a wet signature. However, if the CS is
unable to contact the respondent via the telephone or face to face
interview, we print and mail a paper form to the respondent for
completion. The respondent completes, signs, and returns the form
to the CS. Upon receipt, the CS documents the information in the
SSI Claims System or for non-SSI Claims System cases, faxes the
form into the appropriate electronic folder and shreds the paper
form. The respondents are landlords related to the SSI
beneficiaries as a parent or child.
US Code:
42
USC 1382a Name of Law: Social Security Act
US Code: 42
USC 1383 Name of Law: Social Security Act
When we last cleared this IC in
2017, the burden was 12,000 hours. However, we are currently
reporting a burden of 11,880 hours. This change stems from a
decrease in the number of responses from 72,000 to 71,280. There is
no change to the burden time per response. Although the number of
responses changed, SSA did not take any actions to cause this
change. These figures represent current Management Information
data.
$409,980
No
Yes
Yes
No
No
No
No
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.
Form SSA-L5061 Letter to Landlord Requesting Rental Information
Addendum - 0454.docx
Letter to Landlord Requesting Rental Information