Form SSA-753 elicits information from
third parties to verify the applicant's statements about intent,
cohabitation, and holding out to the public as married, which are
the basic tenets of a common-law marriage. The responses are used
by SSA to determine if a valid marital relationship exists and to
make an accurate determination regarding entitlement to
spouse/widow(er) benefits. The respondents are individuals who are
familiar with and can provide confirmation of an applicant's
common-law marriage.
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.