SSA employees and contractors with a
qualifying medical condition who park at SSA-owned and -leased
facilities may receive a medical parking permit. SSA uses three
forms as part of this program: form SSA-3192, the Application and
Statement (the person seeking the permit completes this when they
first apply for the medical parking space); form SSA-3193, the
Physician's Report (the applicant's physician completes this to
verify the medical condition); and form SSA-3194, the Renewal
Certification (medical parking permit holders complete this to
verify their continued need for the permit). The respondents are
SSA employees and contractors seeking medical parking permits and
their physicians.
The public reporting burden
increased from 144 to 380 burden hours. This increase was caused by
1) the addition of form SSA-3193 (previously, only SSA employeesâ
physicians were included in this ICR) and 2) the addition of form
SSA-3194, which is a new form. Please note there is no real burden
reduction, but because we switched form SSA-3192 from the
physicians to the contractors, which are a much lower group, ROCIS
makes it seem there is a reduction.
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.