Supporting Statement for SSA-2010
Statement for Determining Continuing
Entitlement for Special Veterans Benefits (SVB)
OMB No. 0960-0782
A. Justification
Introduction/Authoring Laws and Regulations
Title VIII of the Social Security Act (Act) provides for the payment of Special Veterans benefits (SVB) to certain World War II veterans who reside outside of the United States. SSA has the authority under the Code of Federal Regulations, 20 CFR 408.714, to request information from a beneficiary receiving benefits under the SVB program. We contact the beneficiaries to maintain the integrity of the SVB program and use the SSA-2010 to obtain information to determine continuing entitlement and the correct amount of payment.
Description of Collection
SSA regularly reviews individuals’ claims for SVB to determine their continued eligibility and the correct payment amounts. Individuals living outside of the United States receiving SVB must report to SSA any changes which may affect their benefits, such as: (1) A change in mailing address or residence; (2) an increase or decrease in pension, annuity, or other recurring benefits; (3) a return or visit to the Untied State3s for a calendar month or longer; or (4) an inability to manage benefits. SSA uses Form SSA-2010, to collect this information. The respondents are beneficiaries living outside the United States collecting SVB.
Use of Information Technology to Collect the Information
SSA did not create an electronic version of Form SSA-2010 under the agency’s Government Paperwork Elimination Act (GPEA) plan because only 1,799 respondents complete the form. This is less than the GPEA cut-off of 50,000.
Why We Cannot Use Duplicate Information
The nature of the information we collect and the manner in which we collect it precludes duplication. SSA does not use another collection instrument to obtain similar data.
Minimizing Burden on Small Respondents
This collection does not significantly affect small businesses or other small entities.
6. Consequence of Not Collecting Information or Collecting it Less Frequently
If SSA did not use Form SSA-2010, improper payments and overpayments could occur. Because we only collect the information once, we cannot collect it less frequently. 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 18, 2016 at 81FR 22698, and we received no public comments. The 30-day FRN published on
June 20, 2016 at 81 FR 39990. If we receive any comments in response to this Notice, we will forward them to OMB. We did not consult with the public in the revision of this form.
Payment or Gifts to Respondents
SSA does not provide payments or gifts to the respondents.
Assurances of Confidentiality
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.
Justification for Sensitive Questions
The information collection does not contain any questions of a sensitive nature.
Estimates of Public Reporting Burden
Modality of Collection |
Number of Respondents |
Frequency of Response |
Average Burden Per Response (minutes) |
Estimated Total Annual Burden (hours) |
SSA-2010 |
1,799 |
1 |
20 |
600 |
The total burden for this ICR is 600 hours. This figure represents burden hours, and we did not calculate a separate cost burden.
13. Annual Cost to the Respondents (Other)
This collection does not impose a known cost burden on the respondents.
Annual Cost To Federal Government
The annual cost to the Federal Government is approximately $10,371.00. This estimate is a projection of the costs for printing and distributing the collection instrument, for collecting the information,
15. Program Changes or Adjustments to the Information Collection Request
The increase in burden hours stems from increase in the number of eligible respondents using Form SSA-2010.
16. Plans for Publication Information Collection Results
SSA will not publish the results of the information collection.
17. 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 |
| Author | IWS/LAN |
| Last Modified By | 889123 |
| File Modified | 2016-08-17 |
| File Created | 2016-04-19 |