THE EMPLOYEE/EMPLOYER AND WAGE
INFORMATION ENTERED BY THE WAGE EARNER THIS FORM IS USED BY SSA TO
VERIFY THE DATA ON THE EARNINGS RECORD AGAINST ALL DATA PREVIOUSLY
RECEIVED TO CORRECT THE EARNINGS RECORD. THESE DATA ENABLE SSA TO
CHECK OUR RECORDS AND DEVELOP FOR EVIDENCE. THE AFFECTED PUBLIC IS
COMPRISED OF PERSONS EARNING WAGES UNDER THE SOCIAL SECURITY SYSTEM
WHO DISAGREE WITH OUR RECORD OF THEIR EARNINGS.
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.