Wage Reports and Pension Information

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement 0960-0547.doc	Supporting Statement A	Uploaded 2013-04-09	Available
2013 sample correspondence 0547.pdf	Supplementary Document	Uploaded 2013-02-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9470	Wage Reports and Pension Information		Modified

ICR Details

OMB Control No: 0960-0547	ICR Reference No: 201301-0960-008
Status: Historical Active	Previous ICR Reference No: 201003-0960-003
Agency/Subagency: SSA	Agency Tracking No:
Title: Wage Reports and Pension Information
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/17/2013
	Date Received in OIRA: 04/16/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2016	36 Months From Approved	08/31/2013
Responses	400	0	600
Time Burden (Hours)	200	0	300
Cost Burden (Dollars)	0	0	0

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Abstract: SSA organizes and maintains pension plan information we receive from the IRS to which pension plan participants and administrations are entitled under the Social Security Act, Section 1131(a). Under 20 CFR 422.122(b), SSA may only disseminate this information if the requester submits a written request with identifying information to SSA. We use the identifying information the requester submits to verify the individual is to whom the pension information pertains. Respondents are requesters of pension plan information.

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Authorizing Statute(s): US Code: 42 USC 1320b-1 Name of Law: Notification of Social Security Claimant with Respect to Deferred Vested Benefits
  

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:
	78 FR 9102	02/07/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 21181	04/09/2013
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Wage Reports and Pension Information

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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	400	600	0	0	-200	0
Annual Time Burden (Hours)	200	300	0	0	-100	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: The decrease in burden reflects the decrease in the number or requests SSA has received for pension plan information from the public/respondents.

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Annual Cost to Federal Government: $1,000

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: 04/16/2013

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