Social Security Statement Survey

ICR 200801-0960-006

OMB: 0960-0770

Federal Form Document

Forms and Documents
IC Document Collections
ICR Details
0960-0770 200801-0960-006
Historical Active
SSA
Social Security Statement Survey
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 04/30/2008
Retrieve Notice of Action (NOA) 01/18/2008
This information collection request is approved as amended by SSA's memo of 04/22/2008, which included a non-response analysis plan. SSA will brief OMB on the results of this survey after the data are analyzed and explain how the results will feed into potential changes to the Social Security Benefits statement.
  Inventory as of this Action Requested Previously Approved
04/30/2011 36 Months From Approved
1,200 0 0
200 0 0
0 0 0

In response to a recommendation from the Government Accounting Office, SSA will conduct a series of surveys assessing customer satisfaction with the most recent versions of the Social Security Statement. The respondents are 1) wage earners who have an earnings history with both covered and non-covered earnings under Social Security, and 2) wage earners who only have earnings covered under Social Security.

US Code: 42 USC 1320b-13 Name of Law: Social Security Act
   US Code: 42 USC 1310 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  72 FR 62510 11/05/2007
73 FR 3307 01/17/2008
No

1
IC Title Form No. Form Name
Social Security Statement Survey

  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 1,200 0 0 1,200 0 0
Annual Time Burden (Hours) 200 0 0 200 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Burden increase due to new, one-time survey.

$50,000
Yes Part B of Supporting Statement
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.
01/18/2008


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