When a title II or title XVI claimant
applying for or receiving benefits based on disability returns to
work after the alleged or established onset date, the work must be
reported and evaluated to determine if the individual meets the
disability requirements of the law. When a possible unsuccessful
work attempt or non-specific subsidy is involved, and the
information cannot be obtained through telephone contact, the
SSA-3033 will be used to request a description of the employee's
work efforts by mail.
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.