Data Exchange Request Form (SSA-157)

ICR 201503-0960-007

OMB: 0960-0802

Federal Form Document

IC Document Collections
ICR Details
0960-0802 201503-0960-007
Historical Active
SSA
Data Exchange Request Form (SSA-157)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/20/2015
Retrieve Notice of Action (NOA) 05/13/2015
  Inventory as of this Action Requested Previously Approved
08/31/2018 36 Months From Approved
121 0 0
61 0 0
0 0 0

SSA engages in various forms of data exchanges from Social Security number verifications to computer matches for benefit eligibility, depending on the requestor's business needs. Section 1106 of the Social Security Act requires we consider the requestor's legal authority to receive the data, our disclosure policies, systems' feasibility, systems' security, and costs before entering into a data exchange agreement. We will use Form SSA-157, Data Exchange Request Form, for this purpose. Respondents are Federal, State, local, and foreign governments, as well as private organizations seeking to share data electronically with SSA.

None
None

Not associated with rulemaking

  80 FR 9499 02/23/2015
80 FR 24307 04/30/2015
No

2
IC Title Form No. Form Name
Data Exchange Request Form SSA-157 SSA-157 Data Exchange Request Form
Data Exchange Request Form (SSA-157) SSA-157 Data Exchange Request Form

  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 121 0 0 0 121 0
Annual Time Burden (Hours) 61 0 0 0 61 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
No
No
No
Uncollected
Faye Lipsky 410 965-8783 [email protected]

  No

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.
05/13/2015


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