The information collected on form
SSA-7011 is used by the Social Security Administration to
substantiate allegations of wages paid to workers when those wages
do not appear in SSA's records of earnings and the worker does not
have proof of payment. This information is used to process claims
for social security benefits and to resolve discrepancies in
earnings records. The respondents are certain employers who can
verify allegations of wages made by the wage earner.
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.