Justification for the Non-Substantive Change for 0960-0782 (Signature Requirement Removal)

Justification for Non-Substantive Changes for Form SSA-2010

Statement for Determining Continuing Entitlement for

Special Veterans Benefits (SVB)

OMB No. 0960-0782

Background

The Social Security Administration (SSA) uses Form SSA-2010, Statement for Determining Continuing Entitlement for Special Veterans Benefits (SVB), to determine continuing entitlement and correct payment amount of SVB. This helps us maintain the integrity of the SVB program. Currently, the PDF version of this form includes a signature requirement.

SSA recently reassessed the need for the respondent’s signature on this form and determined that we no longer require it. Therefore, we are removing the signature requirement from this form.

Revision to the Information Collection

• Change #1: SSA is removing the signature requirement from Form SSA-2010.

Justification #1: We reassessed the need for a wet signature on this form and determined we no longer require it. Therefore, we will no longer ask respondents to sign this form prior to submitting it to SSA.

• Change #2: We are replacing the Penalty of Perjury Statement with a Penalty of Perjury Warning: Anyone who knowingly makes or causes to be made a false statement or representation of material fact for use in determining a payment under the Social Security Act, or knowingly conceals or fails to disclose an event with an intent to affect an initial or continued right to payment, or submits or causes to be submitted any false statement or document knowing the same to contain any misrepresentation of material fact, commits a crime punishable under Federal law by fine, imprisonment, or both, and may be subject to administrative sanctions.

Justification #2: The Penalty of Perjury Statement is directly connected to the signature and needs to be removed since a signature is no longer required. However, to maintain the intent of that statement, it will be replaced with a Penalty of Perjury Warning.

We will implement these revisions upon OMB approval.

This action will not affect the public reporting burden for this information collection.