SSA has
indicated that this form will be compliant with GPEA in Oct. 2003.
SSA shall inform OMB when the collection is compliant, and will
notify OMB prior to Oct. 2003 if compliance with GPEA will be
delayed beyond the October implementation date.
Inventory as of this Action
Requested
Previously Approved
07/31/2005
07/31/2005
06/30/2002
125,000
0
125,000
10,417
0
10,417
0
0
0
The Social Security Administration
(SSA) uses Form SSA-671 to secure sufficient information to effect
the required coordination with the Railroad Retirement Board for
Social Security claims processing. It is completed whenevier
claimants give indications of been employed in the railroad
industry. The respondents are applicants for Social Security
benefits, who have had railroad employment, or dependents or
railroad workers.
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.