Letter to Employer Requesting Information About Wages Earned by Beneficiary

Forms and Documents

Document	Type	Status	Availability
Form SSA-L725 Letter to Employer Requesting Information About Wages Earned by Beneficary	Form	Modified	Available
Form SSA-L725 Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801	Form	Modified	Repair queued
Addendum - 0034 (Final).docx	Supplementary Document	Uploaded 2021-03-02	Available
Addendum - 0034 (Final).docx	Supplementary Document	Uploaded 2021-03-02	Repair queued
Supporting Statement - 0034 (Clean Copy).docx	Supporting Statement A	Uploaded 2023-06-13	Available
Supporting Statement - 0034 (Final).docx	Supporting Statement A	Uploaded 2021-03-02	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
8933	Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801	Form	Modified	Letter to Employer Requesting Information About Wages Earned by Beneficary
8933	Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801	Form	Modified
8933	Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801	Other-Revised PA & PRA Statements	Modified

ICR Details

OMB Control No: 0960-0034	ICR Reference No: 202012-0960-010
Status: Active	Previous ICR Reference No: 201708-0960-006
Agency/Subagency: SSA	Agency Tracking No:
Title: Letter to Employer Requesting Information About Wages Earned by Beneficiary
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: 06/22/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/02/2021
Terms of Clearance: The agency made clarifying edits to the supporting statement. When the agency submits this information collection for re-approval, it will make minor additions to the response to Question Prompt #2 in the Supporting Statement to explain the differences between the questions asked on the SSA-L725 and the SSA-4201 and the policy reasons for these differences.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2026	36 Months From Approved	06/30/2023
Responses	170,000	0	150,000
Time Burden (Hours)	113,333	0	100,000
Cost Burden (Dollars)	0	0	0

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Abstract: SSDI recipients receive payments based on their inability to engage in SGA because of a physical or mental condition. If the recipients work, SSA must evaluate and determine if they continue to meet the disability requirements of the law. When an individual is unable to provide earnings information, and SSA does not have access to proof of earnings, we use Form SSA-L725 to request monthly earnings information from the applicant or recipient’s employer. SSA employees send the paper Form SSA-L725 to the employer to complete. SSA employees use the earnings data that the employer provides on the form to determine whether the claimant or beneficiary is engaging in SGA, since work above the SGA level can cause a cessation of disability benefits. While it is mandatory for applicants and beneficiaries to provide earnings information, the collection of this information is voluntary for respondents. The respondents are businesses which employ Social Security disability applicants and beneficiaries.

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Authorizing Statute(s): US Code: 42 USC 403 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 86638	12/30/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 12068	03/01/2021
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Letter to Employer Requesting Information About Wages Earned by Beneficiary 20 CFR 404.703, 404.801	SSA-L725	Letter to Employer Requesting Information About Wages Earned by Beneficary

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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	170,000	150,000	0	0	20,000	0
Annual Time Burden (Hours)	113,333	100,000	0	0	13,333	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 100,000 hours. However, we are currently reporting a burden of 113,333 hours. This change stems from an increase in the number of responses from 150,000 to 170,000. There is no change to the burden time per response. Although the number of responses changed, SSA did not take any actions to cause this change. These figures represent current Management Information data.

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Annual Cost to Federal Government: $1,674,500

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: 03/02/2021

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