SSA considers partnership income in
determining entitlement to Social Security benefits. SSA uses
information from Form SSA-7104 to determine several aspects of
eligibility for benefits, including the accuracy of reported
partnership earnings; the veracity of a retirement; and lag
earnings where SSA needs this information to determine the status
of the insured. The respondents are applicants for, and recipients
of, Title II Social Security benefits who are reporting partnership
earnings.
US Code:
40
USC 402 Name of Law: Social Security Act
US Code: 40
USC 405 Name of Law: Social Security Act
When we last cleared this IC in
2021, the burden was 12,350 hours. However, we are currently
reporting a burden of 2,154 hours. This change stems from both a
decrease in the number of respondents using Form SSA-7104, as well
as a change in the source of our management information (MI) data
to a more accurate source, which shows that our old data showed
overestimated numbers for this form. We are correcting for this
issue now. These figures represent current MI data. 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. * Note: The total burden reflected in ROCIS is 5,385, while
the burden cited in #12 of the Supporting Statement is 2,154. This
discrepancy is because the ROCIS burden reflects the following
components: field office waiting time + a rough estimate of a
30-minute, one-way, drive burden + learning costs. In contrast, the
chart in #12 of the Supporting Statement reflects actual
burden.
$16,372
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-7104 Partnership Questionnaire (mailed)
0960-0025 Addendum.docx
Partnership Questionnaire (mailed)