THE INFORMATION COLLECTION BY THIS
FORM WILL BE USED TO DETERMINE IF AN INDIVIDUAL WHO LIVES IN ITALY
IS ELIGIBLE FOR U.S. BENEFITS UNDER THE ITALY-U.S. SOCIAL SECURITY
AGREEMENT. IT WILL BE OBTAINED USING THE SSA-2528 BY ITALIAN
AGENCIES WHICH TAKE CLAIM FOR SOCIAL SECURITY BENEFITS. THE
AFFECTED PUBLIC WILL BE COMPRISED OF PEOPLE WHO FILE CLAIMS FOR
U.S. BENEFITS WITH ITALIAN
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.