Modified Benefit Formula Questionnaire

ICR 202008-0960-002

OMB: 0960-0395

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2020-08-25
Supporting Statement A
2020-08-25
IC Document Collections
ICR Details
0960-0395 202008-0960-002
Received in OIRA 201702-0960-001
SSA
Modified Benefit Formula Questionnaire
Revision of a currently approved collection   No
Regular 08/25/2020
  Requested Previously Approved
36 Months From Approved 01/31/2021
21,540 90,000
2,872 12,000
0 0

SSA collects information on the SSA 150 to determine the correct formula to use in computing the Social Security benefit for someone who receives a pension from employment not covered by Social Security. The Windfall Elimination Provision (WEP) requires use of a benefit formula that replaces a smaller percentage of a worker's pre-retirement earnings. However, the resulting amount cannot show a difference in the benefit computed using the modified and regular formulas greater than one-half the amount of the pension received in the first month an individual is entitled to both the pension and the Social Security benefit. The SSA-150 collects the information needed to make all the necessary benefit computations. SSA requires the respondents to furnish the information on form SSA-150 so we can calculate their benefits using the data they supply. SSA will calculate the benefits of applicants that do not respond to this questionnaire using the full WEP reduction. SSA employees collect this information once from the applicant at the time they file their claim. The respondents are applicants for old age and disability benefits.

US Code: 42 USC 415 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  85 FR 34703 06/05/2020
85 FR 51536 08/20/2020
No

1
IC Title Form No. Form Name
Modified Benefit Formula Questionnaire SSA-150 Modified Benefit Formula Questionnaire

  Total Request 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 21,540 90,000 0 0 -68,460 0
Annual Time Burden (Hours) 2,872 12,000 0 0 -9,128 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
When we last cleared this IC in 2017, the burden was 90,000 hours. However, we are currently reporting a burden of 21,540 hours. This change stems a decrease in the number of responses from 12,000 to 2,872. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change. These figures represent current Management Information data

$1,414,276
No
    Yes
    Yes
No
No
No
No
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.
08/25/2020


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