Withdrawn at the
reqest of Liz Davidson at SSA, in order to allow time for SSA to
make reqested changes to the form under review. Upon resubmission,
SSA will present the revised form in the package.
Inventory as of this Action
Requested
Previously Approved
02/28/2002
02/28/2005
05/31/2002
3,200
0
3,200
800
0
0
0
0
0
The information collected on Form
SSA-24 is needed to satisfy the "Jointly Prescribed Application" of
title 38 USC 5105. The provision requires that survivors who file
with SSA or the VA shall be deemed to have filed with both
agencies, and that each agency's forms must request information to
constitute an application for both SSA and VA benefits. The
respondents are survivors of military service veterans filing for
Social Security benefits.
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.