Information Collection Request

Annual Earnings Test Direct Mail Follow-up Program Notices

ICR 202009-0960-010 · OMB 0960-0369 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form SSA-L9778 Retirement, Survivors and Disability Insurance: Earnings Estimate Form Form and Instruction Modified Available
Form SSA-L9778 SSA-L9778 Form and Instruction Modified Repair queued
Form SSA-L9790 Retirement, Survivors and Disability Insurance: Nonwork Months Form Form and Instruction Modified Available
Form SSA-L9790 SSA-L9790 Form and Instruction Modified Repair queued
Form SSA-L9785 Retirement, Survivors and Disability Insurance: Earnings Estimate Form Form and Instruction Modified Available
Form SSA-L9785 SSA-L9785 Form and Instruction Modified Repair queued
Form SSA-L9784 Retirement, Survivors and Disability Insurance: Earnings Estimate Form Form and Instruction Modified Available
Form SSA-L9784 SSA-L9784 Form and Instruction Modified Repair queued
Form SSA-L9781 Retirement, Survivors and Disability Insurance: Earnings Estimate Form Form and Instruction Modified Available
Form SSA-L9781 SSA-L9781 Form and Instruction Modified Repair queued
Form SSA-L9779 Retirement, Survivors and Disability Insurance: Earnings Estimate Form Form and Instruction Modified Available
Form SSA-L9779 SSA-L9779 Form and Instruction Modified Repair queued
Supporting Statement - 0369.docx Supporting Statement A Uploaded 2020-12-08 Available
Supporting Statement - 0369.docx Supporting Statement A Uploaded 2020-12-08 Repair queued
Addendum - 0369 (Revised Version - Signature Removal).docx Supplementary Document Uploaded 2024-11-19 Available
Addendum - 0369.docx Supplementary Document Uploaded 2020-12-08 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
9243 SSA-L9778 Form and Instruction ModifiedRetirement, Survivors and Disability Insurance: Earnings Estimate Form
9243 SSA-L9778 Form and Instruction Modified
195826 SSA-L9790 Form and Instruction ModifiedRetirement, Survivors and Disability Insurance: Nonwork Months Form
195826 SSA-L9790 Form and Instruction Modified
195825 SSA-L9785 Form and Instruction ModifiedRetirement, Survivors and Disability Insurance: Earnings Estimate Form
195825 SSA-L9785 Form and Instruction Modified
195824 SSA-L9784 Form and Instruction ModifiedRetirement, Survivors and Disability Insurance: Earnings Estimate Form
195824 SSA-L9784 Form and Instruction Modified
195823 SSA-L9781 Form and Instruction ModifiedRetirement, Survivors and Disability Insurance: Earnings Estimate Form
195823 SSA-L9781 Form and Instruction Modified
195822 SSA-L9779 Form and Instruction ModifiedRetirement, Survivors and Disability Insurance: Earnings Estimate Form
195822 SSA-L9779 Form and Instruction Modified
ICR Details
0960-0369 202009-0960-010
Active 201703-0960-006
SSA
Annual Earnings Test Direct Mail Follow-up Program Notices
Revision of a currently approved collection   No
Regular
Approved with change 12/19/2024
Retrieve Notice of Action (NOA) 12/08/2020
In accordance with 5 CFR 1320, this information collection is approved.
  Inventory as of this Action Requested Previously Approved
12/31/2027 36 Months From Approved 12/31/2024
736,072 0 736,072
368,037 0 122,680
0 0 0

SSA developed the Annual Earnings Test Direct Mail Follow-up Program to improve beneficiary reporting on work and earnings during the year and earnings information at the end of the year. SSA may reduce benefits payable under the Social Security Act when an individual has wages or self-employment income exceeding the annual exempt amount. SSA identifies beneficiaries likely to receive more than the annual exempt amount, and requests more frequent estimates of earnings from them. When applicable, SSA also requests a future year estimate to reduce overpayments due to earnings. SSA sends letters (SSA-L9778, SSA-L9779, SSA-L9781, SSA-L9784, SSA L9785, and SSA-L9790) to beneficiaries requesting earnings information the month prior to their attainment of full retirement age. We send each beneficiary a tailored letter that includes relevant earnings data from SSA records. The Annual Earnings Test Direct Mail Follow-up Program helps to ensure Social Security payments are correct, and enables us to prevent earnings-related overpayments, and avoid erroneous withholding. The respondents are working Social Security beneficiaries with earnings over the exempt amount.

US Code: 42 USC 403 Name of Law: The Social Security Act
   US Code: 42 USC 405 Name of Law: The Social Security Act
  
None

Not associated with rulemaking

  85 FR 63630 10/08/2020
85 FR 79064 12/08/2020
No

  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 736,072 736,072 0 0 0 0
Annual Time Burden (Hours) 368,037 122,680 0 0 245,357 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There are no changes to the public reporting burden. Per our agreement with OMB, we increased the average burden per response for these forms to 30 minutes to account for confirmation of month-level estimates surrounding earnings and hours worked. We made no other changes to the burden for these forms.

$5,774,976
No
    Yes
    Yes
No
No
No
No
Faye Lipsky 410 965-8783 [email protected]

  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.
12/08/2020