Supporting
Statement for Form SSA-2519
Child
Relationship Statement
20 CFR 404.355 &
404.731
OMB No. 0960-0116
A. Justification
Introduction/Authoring Laws and Regulations
Section 216(h)(3) of the Social Security Act (Act) provides the criteria the Social Security Administration (SSA) uses to determine entitlement of children to Social Security benefits under the deemed child provision. SSA may deem a child to an insured individual if: (1) the insured individual presents SSA with satisfactory evidence of parenthood, and was living with or contributing to the child's support at certain specified times; or (2) the insured individual (a) acknowledged the child in writing; (b) was court decreed as the child's parent; or (c) was court ordered to support the child. 20 CFR 404.355 and 404.731 of the Code of Federal Regulations gives SSA the authority to collect this information.
Description of Collection
SSA employees use Form SSA‑2519 to collect the information we need to determine whether children meet the entitlement requirements for Social Security benefits under the deemed child provision of the Act. SSA employees make benefit determinations based in part upon the information collected. Since the respondents may not be the individuals filing for benefits, we consider their responses voluntary. SSA collects this information through the following modalities: paper, telephone, or in-person interview. The respondents are people with knowledge of the relationship between the individuals filing for Social Security benefits and their alleged biological children.
Use of Information Technology to Collect the Information
SSA did not create an electronic version of Form SSA-2519 under the agency’s Government Paperwork Elimination Act plan because the number of respondents for this collection is at the 50,000-respondent threshold for electronic implementation.
Why We Cannot Use Duplicate Information
The nature of the information we collect and the manner in which we collect it preclude duplication. SSA does not use another collection instrument to obtain similar data.
Minimizing Burden on Small Respondents
This collection does not affect small businesses or other entities.
Consequence of Not Collecting Information or Collecting it Less Frequently
SSA conducts this information collection to obtain data relevant to entitlement of a child under the deemed child provision in section 216(h)(3) of the Act. If we did not collect this information, the consequence could mean possible preclusion of entitlement. Therefore, we cannot collect this information less frequently. There are no technical or legal obstacles that prevent burden reduction.
Special Circumstances
There are no special circumstances that would cause SSA to conduct this information collection in a manner inconsistent with 5 CFR 1320.5.
Solicitation of Public Comment and Other Consultations with the Public
The 60-day advance Federal Register Notice published on October 30, 2015, at
80 FR 66967, and we received no public comments. The 30-day FRN published on January 19, 2016 at 81 FR 2938. If we receive any comments in response to this Notice, we will forward them to OMB. SSA did not consult with the public in the revision of this form.
Payment or Gifts to Respondents
SSA provides no payment or gifts to the respondents.
Assurances of Confidentiality
SSA protects and holds confidential the information we collect in accordance with 42 U.S.C. 1306, 20 CFR 401 and 402, 5 U.S.C. 552 (Freedom of Information Act), 5 U.S.C. 552a (Privacy Act of 1974) and OMB Circular No. A-130.
Justification for Sensitive Questions
The information collection does not contain any questions of a sensitive nature.
Estimates of Public Reporting Burden
Approximately 50,000 respondents use Form SSA-2519 annually. We estimate an average response time of 15 minutes, for a total of 12,500 burden hours. The total burden represents burden hours, and SSA calculated no separate cost burden.
Annual Cost to the Respondents (Other)
This collection does not impose a known cost burden to the respondents.
Annual Cost To Federal Government
The annual cost to the Federal Government is approximately $77,000. This estimate is a projection of printing and distribution costs for the information collection.
Program Changes or Adjustments to the Information Collection Request
There is no change in the public reporting burden.
Plans for Publication Information Collection Results
SSA will not publish the results of the information collection.
Displaying the OMB Approval Expiration Date
OMB granted SSA an exemption from the requirement to print the OMB expiration date on its program forms. SSA produces millions of public-use forms with life cycles exceeding those of an OMB approval. Since SSA does not periodically revise and reprint its public-use forms (e.g., on an annual basis), OMB granted this exemption so SSA would not have to destroy stocks of otherwise useable forms with expired OMB approval dates, avoiding Government waste.
Exceptions to Certification Statement
SSA is not requesting an exception to the certification requirements at 5 CFR 1320.9 and related provisions at 5 CFR 1320.8(b)(3).
B. Collections of Information Employing Statistical Methods.
SSA does not use statistical methods for this information collection.
| File Type | application/msword |
| File Title | January 2001 |
| Author | Maggie Grocki |
| Last Modified By | Lowman, Eric |
| File Modified | 2016-02-01 |
| File Created | 2015-12-02 |