The data collected by SSA on form
SSA-3033 is reviewed and evaluated to determine if the claimant
meets the disability requirements of the law when the claimant
returns to work after the alleged or established onset data. When a
possible unsuccessful work attempt or nonspecific subsidy is
involved (and information cannot be obtained through telephone
contact), the form will be used to request a description of the
employee's work effort. The respondents are employers of OASDI and
SSI disability applicants and beneficiaries.
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.