SSA employees and contractors with a
qualifying medical condition who park at SSA-owned and leased
facilities may apply to receive a medical parking permit. SSA uses
three forms for this program: (1) SSA-3192, the Application and
Statement, which an individual completes when first applying for
the medical parking space; (2) SSA-3193, the Physician's Report,
which the applicant's physician completes to verify the medical
condition; and (3) SSA-3194, Renewal Certification, which medical
parking permit holders complete to verify their continued need for
the permit. The respondents are SSA employees and contractors
seeking medical parking permits and their physicians. Note: Because
SSA employees are Federal workers exempt from the requirements of
the Paperwork Reduction Act, the burden below is only for SSA
contractors and physicians (of both SSA employees and contractors).
We are making minor changes to the instructions and language
throughout the form for clarification.
US Code:
40
USC 486(c) Name of Law: Management and Disposal of Government
Property
PL:
Pub.L. 106 - 580 Sec. 205(c) Name of Law: The Federal Property
and Administrative Services Act of 1949
The change in burden hours
stems from a decrease of respondents using Forms SSA-3192,
SSA-3193, and SSA-3194.
$26,719
No
Yes
Yes
No
No
No
Uncollected
Faye Lipsky 410 965-8783
faye.lipsky@ssa.gov
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.