APPROVED WITH
THE CONDITION THAT SSA SUBMIT A CLEARANCE REQUEST NO LATER THAN
JUNE 1983 REFLECTING THE RESULTS OF DISCUSSIONS WITH THE VETERANS
ADMINISTRATION CALLED BY OMB FOR THE PURPOSE OF ELIMINATING
DUPLICATION WITH VA FORM NUMBEER OMB 2900-0004.
Inventory as of this Action
Requested
Previously Approved
09/30/1983
09/30/1983
10/31/1982
160,000
0
160,000
40,000
0
40,000
0
0
0
FORM SSA-24 SATISFIES THE "JOINTLY
PRESCRIBED APPLICATION" PROVISION OF TITLE 38 USC 3005 THAT
SURVIVORS OF VETERANS WHO FILE WITH EITHER THE VA OR SSA SHALL ALSO
BE DEEMED TO HAVE FILED WITH BOTH AGENCIES AND THAT EACH AGENCY'S
FORMS MUST REQUEST SUFFICIENT INFORMATION TO CONSTITUTE AN
APPLICATION FOR, AND MUST BE FORWARDED TO, THE OTHER AGENCY. THE
SSA-24 IS ATTACHED TO AND IS PART OF THE VA SURVIVOR
APPLICATION.
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.