MISSING AND DISCREPANT WAGE REPORTS STUDY QUESTIONNAIRES

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
115444	MISSING AND DISCREPANT WAGE REPORTS STUDY QUESTIONNAIRES Form	Migrated

ICR Details

OMB Control No: 0960-0391	ICR Reference No: 198502-0960-004
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: SSA	Agency Tracking No:
Title: MISSING AND DISCREPANT WAGE REPORTS STUDY QUESTIONNAIRES
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/21/1985
	Date Received in OIRA: 02/25/1985
Terms of Clearance: APPROVED THROUGH JUNE, 1985 WITH THE FOLLOWING CONDITIONS:(1) SSA-5038 IS TO BE REVISED BY ADDING AN ADDITIONAL ITEM, INFORMING EMPLOYERS OF THE NUMBER OF DISCREPANT WAGE REPORTS, AND (2) BY JUNE 1985 SSA WILL PROVIDE OMB WITH THE FOLLOWING REPORTS:(A)A DETAILED DESCRIPTION OF SSA'S CURRENT PROCEDURES FOR VERIFYING MISSING AND DISCREPANT WAGE REPORTS AND WITH AN EXPLAINATION OF CHANGES SSA PLANS TO MAKE IN THIS PROCESS, (B) A REPORT DETAILING THE RESULTS OF THIS STUDY, INCLUDING A DISCUSSION OF THE PROGRAMMATIC AND BUDGETARY IMPLICATIONS OF THE RESUL AND (C) A REPORT ON THE FEASIBILITY OF OPTICALLY SCANNING THIS FORM.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/1985	06/30/1985
Responses	1,250	0	0
Time Burden (Hours)	1,250	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: THE INFORMATION COLLECTED BY THE USE OF FORMS SSA-5037 AND SSA-5038 IS NEEDED TO DETERMINE THE PROPER AMOUNT OF EARNINGS TO BE CREDITED ON SOCIAL SECURITY RECORDS. THE AFFECTED PUBLIC IS COMPRISED OF CERTAIN BUSINESSES WHOSE EARNINGS REPORTS WERE DISCREPANT OR MISSING.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
MISSING AND DISCREPANT WAGE REPORTS STUDY QUESTIONNAIRES	DDS-5037, 5038

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ICR Summary of Burden

	Total Approved	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	1,250	0	0	1,250	0	0
Annual Time Burden (Hours)	1,250	0	0	1,250	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 02/25/1985

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