Supporting Statement 0960-0791

Supporting Statement 0960-0791.doc

Application for Access to SSA Systems

OMB: 0960-0791

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Supporting Statement for

Form SSA-120

Application for Access to SSA Systems

20 CFR 401.45


OMB No. 0960-0791


A. Justification


  1. Introduction/Authoring Laws and Regulations

Section 205 (a) of the Social Security Act (Act) provides the Commissioner of Social Security with the authority to establish procedures for verifying identity. 20 CFR 401.45 of the Code of Federal Regulations, Subpart B provides procedures for verifying identity.


The Social Security Administration (SSA) collects this information by authority of the Privacy Act of 1974 at 5 U.S.C. 552A (e)(10), which requires agencies to establish appropriate administrative, technical, and physical safeguards to ensure the security and confidentiality of records. Sub-section 5 U.S.C. 552A (f)(2)&(3) requires agencies to establish requirements for identifying an individual who requests a record or information pertaining to that individual and to establish procedures for disclosure of personal information.


Executive Order 10450 authorizes the collection of the data SSA requires on Form SSA-120. In addition, Executive Order 9397, 26 CFR 31.6011(b)2, and 26 CFR 31.61091 provides specific authority for the use of Social Security numbers.


  1. Description of Collection

SSA uses Form SSA-120 to allow authorized users to apply for access to SSA’s information systems. SSA requires supervisory approval and local or component security officer review prior to granting access. The respondents are SSA employees and non-Federal employees (contractors) who require access to SSA systems to fulfill their jobs.


Note: Because SSA employees are Federal workers exempt from the requirements of the Paperwork Reduction Act, the burden is only for SSA contractors.


  1. Use of Information Technology to Collect the Information

Form SSA-120 is available as a print-only PDF on SSA’s website. SSA is in the process of creating an electronic version of Form SSA-120 under the agency’s Government Paperwork Elimination Act (GPEA). See Addendum to the Supporting Statement for further details.





  1. 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.


  1. 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-120, we would not have a way to track an individual’s access to SSA’s information systems and resources nor would we be able to assure the confidentiality, integrity, and availability of SSA’s information technology resources.


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.


  1. Solicitation of Public Comment and Other Consultations with the Public

SSA published the 60-day advance Federal Register Notice on July 3, 2014 at 79 FR 38107, and SSA received no public comments. We published the 30-day Notice on September 19, 2014 at 79 FR 56428. If we receive any comments on the second Notice, we will forward them to OMB. We did not consult with members of the public.


  1. Payment or Gifts to Respondents

SSA does not provide payments or gifts to the respondents.


  1. Assurances of Confidentiality

SSA will not make any disclosure of this information to agencies or individuals outside this department unless required by law or written consent accompanies the request


SSA protects and holds confidential the information it collects 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.


  1. Justification for Sensitive Questions

The information collection does not contain any questions of a sensitive nature.


  1. Estimates of Public Reporting Burden

Approximately 3,253 respondents take 2 minutes each to complete Form SSA-120 each year. Accordingly, the burden is 109 hours. This figure represents burden hours, and we did not calculate a separate cost burden. Below is a breakdown of burden.


Modality of Collection

Number of Respondents

Frequency of Response

Average Burden of Response (minutes)

Estimated Total Annual Burden (hours)

SSA-120 (paper version)



2,148



1



2



72

SSA-120 (Internet version)



1,105



1



2



37

Totals

3,253



109


13. Annual Cost to the Respondents (Other)

This collection does not impose a known cost burden to the respondents.


  1. Annual Cost To Federal Government

The estimated cost to the Federal Government to collect the information is negligible. Because the cost of maintaining the system which collects this information is accounted for within the cost of maintaining all of SSA’s automated systems, it is not possible to calculate the cost associated with just one Internet application.


15. Program Changes or Adjustments to the Information Collection Request

There has been a decrease in burden due to a decrease in the number of contractors SSA has hired.


16. Plans for Publication Information Collection Results

SSA will not publish the results of the information collection.


17. Displaying the OMB Approval Expiration Date

SSA is not requesting an exception to the requirement to display the OMB approval expiration date.


  1. Exceptions to Certification Statement

SSA is not requesting an exception to the certification requirements in 5 CFR 1320.9 and related provisions in 5 CFR 1320.8(b) (3).


B. Collections of Information Employing Statistical Methods

SSA does not use statistical methods for this information collection.


File Typeapplication/msword
File TitleTitle of Information Collection and Form Number(s)
AuthorNaomi
Last Modified By889123
File Modified2014-09-23
File Created2014-08-04

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