Marriage Certification

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form SSA-3 Marriage Certification	Form	Modified	Available
Form SSA-3 Marriage Certification	Form	Modified	Repair queued
Addendum - 0009.docx	Supplementary Document	Uploaded 2020-08-20	Available
Addendum - 0009.docx	Supplementary Document	Uploaded 2020-08-20	Repair queued
Supporting Statement - 0009 (Final).docx	Supporting Statement A	Uploaded 2024-07-22	Available
Supporting Statement - 0009.docx	Supporting Statement A	Uploaded 2020-08-20	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
8880	Marriage Certification	Form	Modified	Marriage Certification
8880	Marriage Certification	Form	Modified
8880	Marriage Certification	Other-Revised Privacy Act Statement	Modified

ICR Details

OMB Control No: 0960-0009	ICR Reference No: 202007-0960-002
Status: Active	Previous ICR Reference No: 201703-0960-009
Agency/Subagency: SSA	Agency Tracking No:
Title: Marriage Certification
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: 07/22/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/20/2020
Terms of Clearance: The agency made modifications to the Supporting Statement A to provide greater clarity regarding the operation and use of the information collection. The agency increased the burden estimate and made minor revisions to the form. Prior to triannual renewal, the agency should ensure that this information collection can be completed and submitted electronically, such as through Upload Document or a successor online platform. If the agency is unable to achieve this, it should include in its renewal package to OMB a letter, addressed to the OIRA Administrator and signed by a Deputy Commissioner, providing a fact-specific explanation for why this information collection cannot be made electronic at this time.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2027	36 Months From Approved	07/31/2024
Responses	62,342	0	62,342
Time Burden (Hours)	61,303	0	5,195
Cost Burden (Dollars)	0	0	0

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Abstract: Sections 202(b) and 202(c) of the Social Security Act (Act) stipulate that every spouse of an individual entitled to Old Age, Survivors, and Disability Insurance (OASDI) benefits is entitled to a spouse benefit if the wife or husband, in addition to meeting the entitlement requirements, meets the relationship criteria in Section 216(h)(1)(A) and (B) of the Act. SSA uses Form SSA-3 to determine if a spouse claimant has the necessary relationship to the Social Security number holder (i.e., the worker) to qualify for the worker’s OASDI benefits. The respondents are applicants for spouse’s OASDI benefits.

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Authorizing Statute(s): US Code: 42 USC 405 Name of Law: Social Security Act
   US Code: 42 USC 402 Name of Law: Social Security Act
   US Code: 42 USC 416 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:
	85 FR 37996	06/24/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 51536	08/20/2020
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
Marriage Certification	SSA-3	Marriage Certification

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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	62,342	62,342	0	0	0	0
Annual Time Burden (Hours)	61,303	5,195	0	0	56,108	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: There are no changes to the public reporting burden. * Note: The total burden reflected in ROCIS is 61,303, while the burden cited in #12 of the Supporting Statement is 5,195. This discrepancy is because the ROCIS burden reflects the following components: field office waiting time + a rough estimate of a 30 minute, one-way, drive burden. In contrast, the chart in #12 of the Supporting Statement reflects actual burden.

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Annual Cost to Federal Government: $8,021,042

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: 08/20/2020

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