Letter to Employer Requesting Information about Wages Earned by Beneficiary

ICR 199912-0960-007

OMB: 0960-0034

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0960-0034 199912-0960-007
Historical Active 199612-0960-007
SSA
Letter to Employer Requesting Information about Wages Earned by Beneficiary
Extension without change of a currently approved collection   No
Regular
Approved without change 01/20/2000
Retrieve Notice of Action (NOA) 12/07/1999
  Inventory as of this Action Requested Previously Approved
02/28/2003 02/28/2003 02/29/2000
150,000 0 150,000
100,000 0 100,000
0 0 0

The information collected on form SSA-L725 is used by SSA to establish the exact amount of wages earned by the beneficiary and to determine the amount of benefit payment, should one be due. This form is used only in cases where SSA'a records are incomplete or have been questioned. The respondents are employers of the beneficiaries.

None
None


No

1
IC Title Form No. Form Name
Letter to Employer Requesting Information about Wages Earned by Beneficiary SSA-L725

  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 150,000 150,000 0 0 0 0
Annual Time Burden (Hours) 100,000 100,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
12/07/1999


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