Annual Earnings Test-Direct Mail Follow-up Program Notices

ICR 200609-0960-014

OMB: 0960-0369

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2006-09-15
Supporting Statement A
2006-10-05
ICR Details
0960-0369 200609-0960-014
Historical Active 200312-0960-003
SSA
Annual Earnings Test-Direct Mail Follow-up Program Notices
Extension without change of a currently approved collection   No
Regular
Approved without change 12/26/2006
Retrieve Notice of Action (NOA) 10/05/2006
  Inventory as of this Action Requested Previously Approved
12/31/2009 36 Months From Approved 01/31/2007
225,000 0 225,000
37,500 0 37,500
0 0 0

The Mid-Year Mailer (MYM) is used to ensure that Retirement Survivors Insurance (RSI) payments are correct. Beneficiaries under full retirement age (FRA) use forms SSA-L9778, SSA-L9779 and SSA-L9781 to update their current year estimate of earnings and their estimate for the following year. MYM forms SSA-L9784 and SSA-L9785 are designed to request earnings estimates in the year of FRA for the period prior to the month of FRA. Only one individually tailored form is sent per respondent. Respondents are RSI beneficiaries with earnings over the exempt amount.

US Code: 42 USC 403 Name of Law: null
   US Code: 42 USC 405 Name of Law: null
  
None

Not associated with rulemaking

  71 FR 38681 07/07/2006
71 FR 58041 10/02/2006
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 225,000 225,000 0 0 0 0
Annual Time Burden (Hours) 37,500 37,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$55,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Elizabeth Davidson 411-965-0454 liz.davidson@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.
10/05/2006


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