Authorization to Obtain Earnings Data from the Social Security Administration

Forms and Documents

Document Name	Status
Form SSA-581 Authorization to Obtain Earnings Data from the Social Security Administration Form	Modified
Addendum 0602.doc Supplementary Document	2011-04-07
Supporting Statement 0602 (revised).doc Supporting Statement A	2011-07-05

IC Document Collections

IC ID	Document Title	Status
9588	Authorization to Obtain Earnings Data from the Social Security Administration Form	Modified

ICR Details

OMB Control No: 0960-0602	ICR Reference No: 201103-0960-021
Status: Historical Active	Previous ICR Reference No: 200808-0960-005
Agency/Subagency: SSA	Agency Tracking No:
Title: Authorization to Obtain Earnings Data from the Social Security Administration
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/30/2011
	Date Received in OIRA: 07/14/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2014	36 Months From Approved	10/31/2011
Responses	32,000	0	33,000
Time Burden (Hours)	1,067	0	1,100
Cost Burden (Dollars)	0	0	0

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Abstract: Certain organizations and agencies, both public and private, need to obtain detailed earnings information about specific Social Security Number (SSN)-holding wage earners for business purposes (e.g.: pension funds, State agencies). Wage earners may also want to request their own earnings information for verification purposes. Respondents (organizations and SSN holders themselves) use form SSA-581, the Authorization to Obtain Earnings Data from the Social Security Administration (SSA), to 1) identify the SSN holder whose information they are requesting, and 2) provide authorization from the SSN holder, when applicable.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
  

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:
	76 FR 19175	04/06/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 38448	06/30/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Authorization to Obtain Earnings Data from the Social Security Administration	SSA-581	Authorization to Obtain Earnings Data from the Social Security Administration

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ICR Summary 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	32,000	33,000	0	0	-1,000	0
Annual Time Burden (Hours)	1,067	1,100	0	0	-33	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: There has been a decrease in burden hours. The change in burden hours is due to a decrease in the number of respondents completing form SSA-581.

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Annual Cost to Federal Government: $34,837

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 07/14/2011

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