The agency made minor modifications to the supporting statement to explain differences between the various authorization forms the agency uses to collect information about claimants.
Inventory as of this Action
Requested
Previously Approved
07/31/2026
36 Months From Approved
07/31/2023
200,461
0
163,445
16,706
0
13,621
0
0
0
SSA uses Form SSA-8510 to contact a public or private custodian of records on behalf of an applicant or recipient of an SSA program to request evidence information, which may support a benefit application or payment continuation. We ask for evidence information such as the following:
⢠Age requirements (e.g. birth certificate, court documents)
⢠Insured status (e.g. earnings, employer verification)
⢠Marriage or divorce information
⢠Pension offsets
⢠Wages verification
⢠Annuities
⢠Property information
⢠Benefit verification from a State agency or third party
⢠Immigration status (rare instances)
⢠Income verification from public agencies or private individuals
⢠Unemployment benefits
⢠Insurance policies
If the custodian requires a signed authorization from the individual(s) whose information SSA requests, SSA may provide the custodian with a copy of the SSA-8510. Once the respondent completes the SSA-8510, either using the paper form, or using the Personal Information Authorization Intranet version, SSA uses the form as the authorization to obtain personal information regarding the respondent from third parties until the authorizing person (respondent) revokes the permission of its usage. The collection is voluntary; however, failure to verify the individualsâ eligibility can prevent SSA from making an accurate and timely decision for their benefits. The respondents are individuals who may file for, or currently receive, Social Security benefits, SSI payments, or Medicare Part D subsidies.
US Code:
42 USC 1383
Name of Law: Social Security Act
US Code:
42 USC 405
Name of Law: Social Security Act
When we last cleared this IC in 2018, the burden was 13,621 hours. However, we are currently reporting a burden of 16,706 hours. This change stems from an increase in the number of responses from 163,445 to 200,461. 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.
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.
Form SSA-8510 Authorization for the Social Security Administration to Obtain Personal Information
Addendum - 0801 (Final).docx
SSA-8510 – Title II and Title XVI general evidence (Personal Information Authorization - Intranet Screens)