Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers

Forms and Documents

Document Name	Status
Form SSA-8420 SSA-8240 (paper) Form	Modified
Addendum - 0807.docx Supplementary Document	2020-07-31
Supporting Statement - 0807.docx Supporting Statement A	2020-07-31

IC Document Collections

IC ID	Document Title	Status
226074	Revoking Authorization Other-Internet Screens	Removed
226002	Internet (BBA 824) Other-BBA 824 Internet Screens	Modified
225980	Title II & Title XVI Electronic (MCS MSSICS, iClaim, and eWork) Other-Internet screens	Modified
225979	SSA-8240 (paper) Form	Modified

ICR Details

OMB Control No: 0960-0807	ICR Reference No: 202003-0960-004
Status: Active	Previous ICR Reference No: 201709-0960-002
Agency/Subagency: SSA	Agency Tracking No:
Title: Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/29/2020
	Date Received in OIRA: 08/03/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2023	36 Months From Approved	12/31/2020
Responses	4,110,786	0	4,025,127
Time Burden (Hours)	147,026	0	168,805
Cost Burden (Dollars)	0	0	0

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Abstract: SSA uses the form SSA-8240 to collect authorization from the public to obtain their wage and employment information from payroll data providers to determine program eligibility and payment amounts. This collection is voluntary, however, failure to provide authorization may prevent SSA from making accurate and timely eligibility determinations and payments. We will request authorization on an as needed basis during contact with the individual including: (a) SSDI and SSI initial claims, (b) SSI redeterminations, and (c) SSDI Work Continuing Disability Reviews. The respondents are individuals who file for, or are currently receiving, SSDI or SSI payments, and any person whose income and resources SSA counts when determining an individual’s SSI eligibility or payment amount.

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Authorizing Statute(s): PL: Pub.L. 114 - 74 824 Name of Law: Bipartisan Budget 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:
	85 FR 26776	05/05/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 46206	07/31/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Revoking Authorization
SSA-8240 (paper)	SSA-8420	Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers
Title II & Title XVI Electronic (MCS MSSICS, iClaim, and eWork)
Internet (BBA 824)

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ICR Summary 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	4,110,786	4,025,127	0	0	85,659	0
Annual Time Burden (Hours)	147,026	168,805	0	0	-21,779	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: When we last cleared this IC in 2017, the burden was 168,805 hours. However, we are currently reporting a burden of 147,026 hours. This decrease stems from a change in the number of responses. Although the number of responses changed, SSA did not take any actions to cause this change. In 2017, the form and the electronic applications were new collections and our estimates were based on anticipated use. In this current request, we derive our estimate from current management information tracking transactional details. Although we are expanding our use of the authorization collected in this form to non-automated contacts with payroll data providers, we do not believe the additional use will affect the reported burden and costs estimates. Those individuals affected by the change are already using the form to provide authorization, and we do not anticipate adding new categories of applicants or beneficiaries.

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Annual Cost to Federal Government: $4,115,849

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: 08/03/2020

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