Supporting Statement for Form SSA-3
Marriage Certification
20 CFR 404.725
OMB No. 0960-0009
1. Introduction/Authoring Laws and Regulations
Section 205(a) of the Social Security Act (Act) gives the Commissioner of the Social Security Administration (SSA) the authority to make rules and regulations and establish procedures that provide for collecting evidence from individuals applying for Social Security benefits. Sections 202(b) and 202(c) of the Act stipulate that every spouse of an individual entitled to Old Age and Survivors Disability Insurance benefits is entitled to a spousal benefit if the wife or husband, in addition to meeting the entitlement requirements, meets the relationship criteria in Section 216(h)(1)(A) and (B). As provided in 20 CFR 404.725 of the Code of Federal Regulations on the evidence requirements of a ceremonial marriage, when the worker and spouse file claims separately, the Social Security Administration (SSA) uses Form SSA-3, Marriage Certification, to record changes to the worker’s marital history.
2. Description of Collection
SSA uses Form SSA-3 to determine if a spouse claimant has the necessary relationship to the Social Security number holder (i.e., the worker) to qualify for the worker’s OASDI benefits. The respondents are applicants for spouse’s OASDI benefits.
3. Use of Information Technology to Collect the Information
SSA did not create an electronic version of Form SSA-3 under the agency’s Government Paperwork Elimination Act plan because higher volume forms take precedence. Form SSA-3, the form is currently available as a print-only PDF on the SSA website.
4. Why We Cannot Use Duplicate Information
The nature of the information we are collecting and the manner in which we are collecting it preclude duplication. SSA does not use another collection instrument to obtain similar data.
5. Minimizing Burden on Small Respondents
This collection does not affect small businesses or other small entities.
6. Consequence of Not Collecting Information or Collecting it Less Frequently
If we did not use Form SSA-3, SSA would be unable to determine if spouse-claimants have the necessary relationship to the worker and if they meet our statutory obligation under section 216(h)(1)(A) and (B) of the Act.
There are no technical or legal obstacles to burden reduction.
7. Special Circumstances
There are no special circumstances that would cause SSA to conduct this information collection in a manner inconsistent with 5 CFR 1320.5.
Solicitation of Public Comment and Other Consultations with the Public
The 60-day advance Federal Register Notice published on April 16, 2014, at
79 FR 21499, and we received no public comments. The 30-day FRN published on July 2, 2014 at 79 FR 37828. If we receive any comments in response to this Notice, we will forward them to OMB.
Payment or Gifts to Respondents
SSA does not provide payments or gifts to the respondents.
Assurances of Confidentiality
SSA protects and hold confidential the information we collect in accordance with 42 U.S.C. 1306, 20 CFR 401 and 402, 5 U.S.C. 552 (Freedom of Information Act), 5 U.S.C. 552a (Privacy Act of 1974) and OMB Circular No. A-130.
Justification for Sensitive Questions
The information collection does not contain any questions of a sensitive nature.
Estimates of Public Reporting Burden
Modality of Completion |
Number of Respondents |
Frequency of Response |
Average Burden Per Response (minutes) |
Estimated Total Annual Burden (hours) |
SSA-3 |
180,000 |
1 |
5 |
15,000 |
The total burden for this ICR is 15,000 hours, and we did not calculate a separate cost burden.
Annual Cost to the Respondents
This collection does not impose a known cost burden on the respondents.
Annual Cost to the Federal Government
The annual cost to the Federal Government is approximately $277,200. This estimate is a projection of the costs for printing and distributing the collection instrument, and for collecting the information.
Program Changes or Adjustments to the Information Collection Request
There are no changes to the public reporting burden.
Plans for Publication Information Collection Results
SSA will not publish the results of the information collection.
Displaying the OMB Approval Expiration Date
OMB granted SSA an exemption from the requirement to print the OMB expiration date on its program forms. SSA produces millions of public-use forms with life cycles exceeding those of an OMB approval. Since SSA does not periodically revise and reprint its public-use forms (e.g., on an annual basis), OMB granted this exemption so SSA would not have to destroy stocks of otherwise useable forms with expired OMB approval dates, avoiding Government waste.
Exceptions to Certification Statement
SSA is not requesting an exception to the certification requirements at 5 CFR 1320.9 and related provisions at 5 CFR 1320.8(b)(3).
B. Collections of Information Employing Statistical Methods
SSA does not use statistical methods for this information collection.
| File Type | application/msword |
| File Title | Section 205(a) of the Social Security Act (the Act) requires the Secretary to “regulate and provide for the nature and extent of |
| Author | John Biles |
| Last Modified By | 889123 |
| File Modified | 2014-07-07 |
| File Created | 2014-03-26 |