The information collected on form
SSA-2490 is used by SSA to determine a claimant's eligibility for
U.S. Social Security benefits under the provisions of an
international social security agreement. It is also used to take an
application for benefits from a foreign country under an agreement.
The respondents are individuals who are applying for benefits from
either the United States and/or a foreign country with which the
United States has an agreement.
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.