SSA prepares Form SSA-L106 (Letter to
Custodian of School Records)and SSA-L706 (Letter to Custodian of
Birth Records) for individuals who need help in obtaining evidence
of their age in connection with Social Security number (SSN) card
applications and claims for benefits or Supplemental Security
Income (SSI). SSA uses the SSA-L106 to determine the existence of
primary evidence of age for SSN applicants. SSA also uses both
letters to verify with the issuing entity, when necessary, the
authenticity of the record submitted by the SSN applicant or
claimant. The respondents are the beneficiaries and claimants who
sign the letters; and the schools, State and local bureaus of vital
statistics, and religious entities who submit the information
regarding evidence of age for the beneficiary or claimant.
US Code:
42
USC 405 Name of Law: Social Security Act
There is a significant decrease
in the public reporting burden. This change stems from a decrease
in the number of respondents using these forms. The figures
reported in 2016 were an estimate based on old data. In this ICR,
we were able to obtain more accurate information data for the
number of respondents. There is no change to the burden time per
response for the respondents who complete these forms. SSA did not
take any actions to cause this change. In addition, we are
increasing the burden by including the one-minute burden for the
claimants and beneficiaries for whom we complete this form to sign
these forms before we send them. While we have always asked the
claimants or beneficiaries to sign these forms, we only recently
realized that we were no longer showing this minor burden in our
burden estimates. This is an oversight, which we are correcting
now.
$3,106
No
Yes
Yes
No
No
No
Uncollected
Faye Lipsky 410 965-8783
faye.lipsky@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.
Form SSA-L106 SSA-L106 Letter to Custodian of School Records (Private Sector)
Addendum - 0693.docx
SSA-L106 Letter to Custodian of School Records (Private Sector)