Monthly SSI Wage Reporting

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement OMB-0715_MWR_PA.doc	Supporting Statement A	Uploaded 2007-09-05	Available
MonthlyWagePilotFindings02-2007.pdf	Supplementary Document	Uploaded 2007-04-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
43714	Monthly SSI Wage Reporting	Other-Telephone Monthly Wage Reporting	Modified
179756	MWR Participant Training Package	Instruction	New

ICR Details

OMB Control No: 0960-0715	ICR Reference No: 200704-0960-006
Status: Historical Active	Previous ICR Reference No: 200607-0960-011
Agency/Subagency: SSA	Agency Tracking No:
Title: Monthly SSI Wage Reporting
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/14/2007
	Date Received in OIRA: 05/24/2007
Terms of Clearance: This ICR is approved consistent with changes made to the instruction sheet. Also, this ICR is approved on the understanding that 1) SSA will continue to verify that the reported wage information is accurate, 2) SSA will implement the receipt and authentication enhancements during FY08, and 3) SSA will implement the changes necessary to allow concurrent beneficiaries to report during FY08. SSA also understands that "permanent authorization" of this instument does not mean SSA can bypass the PRA requirements: at least every 3 years, this instrument will have to be renewed and reviewed, per the PRA.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2010	36 Months From Approved	09/30/2007
Responses	650,000	0	4,200
Time Burden (Hours)	79,167	0	350
Cost Burden (Dollars)	0	0	0

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Abstract: SSA is conducting an SSI wage reporting pilot to test a knowledge-based authentication system for collecting wage information from SSI recipients. A sample of individuals who need to report a change in earned income will call an SSA toll-free telephone number which will allow them to either speak their report (voice recognition technology) or key in the information using the telephone key pad. At the conclusion of the pilot, SSA will evaluate whether this is an effective method of reporting the information.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: null
   US Code: 42 USC 1383 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 13851	03/23/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 28540	05/21/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Monthly SSI Wage Reporting
MWR Participant Training Package

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ICR Summary of Burden

table that charts list of burden

	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	650,000	4,200	0	645,800	0	0
Annual Time Burden (Hours)	79,167	350	0	78,817	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This request will result in an increase to the current public reporting burden. In SSA’s initial pilot request we estimated a burden 350 hours. However, this is a request for permanent authorization of an alternative collection methodology that is expected to involve additional participants beyond the universe of those currently required to report the subject changes in wage amounts. Reporting via the MWR telephone system will also remain wholly voluntary on the part of the public. We are also including the estimated time that it may take for the participant to complete the training. Due to the fact that we must separate the training package IC from the MWR it appears that the number of respondents is 100,000, there are only 50,000 total respondents.

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Annual Cost to Federal Government: $1,073,403

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/24/2007

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