Missing and Discrepant Wage Reports Letter and Questionnaire

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-97-SM (second Second Request -Employer Questionnaire- Discrepancy Between IRS and SSA Records	Form	Modified	Repair queued
Form SSA-95-SM (second Second Request- Employer Questionnaire--SSA Has No Record of Employer Report	Form	Modified	Repair queued
Form SSA-97-SM Employer Questionnaire--Discrepancy Between IRS and SSA Records	Form	Modified	Repair queued
Form SSA-95-SM Employer Questionnaire--SSA Has No Record of Employer Report	Form	Modified	Repair queued
Supporting Statement - 0432.docx	Supporting Statement A	Uploaded 2019-12-31	Repair queued
Addendum - 0432.docx	Supplementary Document	Uploaded 2020-01-13	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
9293	Missing and Discrepant Wage Reports Letter and Questionnaire	Form	Modified	Second Request -Employer Questionnaire- Discrepancy Between IRS and SSA Records
9293	Missing and Discrepant Wage Reports Letter and Questionnaire	Form	Modified	Second Request- Employer Questionnaire--SSA Has No Record of Employer Report
9293	Missing and Discrepant Wage Reports Letter and Questionnaire	Form	Modified	Employer Questionnaire--Discrepancy Between IRS and SSA Records
9293	Missing and Discrepant Wage Reports Letter and Questionnaire	Form	Modified	Employer Questionnaire--SSA Has No Record of Employer Report
9293	Missing and Discrepant Wage Reports Letter and Questionnaire	Other-Cover Letter	Modified

ICR Details

OMB Control No: 0960-0432	ICR Reference No: 201911-0960-001
Status: Historical Active	Previous ICR Reference No: 201609-0960-010
Agency/Subagency: SSA	Agency Tracking No:
Title: Missing and Discrepant Wage Reports Letter and Questionnaire
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/21/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/13/2020
Terms of Clearance: The agency updated their form to clarify the requirement to use this specific information request. Upon resubmission, the agency shall update OMB on efforts to make this collection fully electronic.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2024	36 Months From Approved	05/31/2021
Responses	360,000	0	360,000
Time Burden (Hours)	180,000	0	180,000
Cost Burden (Dollars)	0	0	0

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Abstract: Each year employers report the wage amounts they paid their employees to IRS for tax purposes, and separately to SSA for retirement and disability coverage purposes. In theory these reported amounts should equal each other; however, each year some of the employer wage reports that SSA receives are less than the wage amounts reported to IRS. SSA attempts to ensure that employees receive full credit for the wages they have earned through the use of the SSA-L 93 (cover letter); SSA-L 94 (cover letter); SSA-95 and SSA-97 (questionnaires). Respondents are employers who reported less wage amounts to SSA than they reported to IRS.

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Authorizing Statute(s): US Code: 42 USC 432 Name of Law: Social Security Act
   US Code: 42 USC 405 Name of Law: Social Security Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 53551	10/07/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 70610	12/23/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Missing and Discrepant Wage Reports Letter and Questionnaire	SSA-97-SM, SSA-95-SM , SSA-95-SM (second request), SSA-97-SM (second request)	Employer Questionnaire--SSA Has No Record of Employer Report ,   Employer Questionnaire--Discrepancy Between IRS and SSA Records ,   Second Request- Employer Questionnaire--SSA Has No Record of Employer Report ,   Second Request -Employer Questionnaire- Discrepancy Between IRS and SSA Records

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ICR Summary of Burden

table that charts list of burden

	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	360,000	360,000	0	0	0	0
Annual Time Burden (Hours)	180,000	180,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $301,866

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/13/2020

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