Information Collection Request

Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test Workbook

ICR 202502-0960-005 · OMB 0960-0189 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form SSA-2930 SSA-2930 Form Modified Repair queued
Form SSA-8510 SSA-8510 Form Modified Repair queued
Form SSA-2935 SSA-2935 Form and Instruction Modified Repair queued
Form SSA-85 SSA-85 Form Modified Repair queued
Form SSA-8552 SSA-8552 Form Modified Missing upstream
Form SSA-4659 SSA-4659 Form Modified Repair queued
Form SSA-2931 SSA-2931 Form Modified Repair queued
Addendum - 0189 (Final).docx Supplementary Document Uploaded 2025-06-27 Repair queued
Supporting Statement Part B - 0189 (Final).docx Supporting Statement B Uploaded 2025-06-27 Repair queued
Supporting Statement Part A - 0189 (Final).docx Supporting Statement A Uploaded 2025-06-27 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
9153 SSA-2930 Form Modified
195245 SSA-8510 Form Modified
183776 SSA-2935 Form and Instruction Modified
183775 SSA-85 Form Modified
183774 SSA-8552 Form Modified
183773 SSA-L8554 Other-Notice Modified
183772 SSA-L8553 Other-Notice Modified
183771 SSA-L8552-U3 Other-Notice Removed
183770 SSA-L8551-U3 Other-Notice Removed
183769 SSA-L8550-U3 Other-Notice Removed
183268 SSA-4659 Form Modified
183264 SSA-2931 Form Modified
ICR Details
0960-0189 202502-0960-005
Received in OIRA 202403-0960-002
SSA
Quality Review Case Analysis: Sample Number Holder; Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test Workbook
Revision of a currently approved collection   No
Regular 06/27/2025
  Requested Previously Approved
36 Months From Approved 07/31/2025
17,700 18,215
55,582 7,686
0 0

Section 205(a) of the Social Security Act (Act) authorizes the Commissioner of SSA to conduct the quality review process, which entails collecting information related to the accuracy of payments made under the Old-Age, Survivors, and Disability Insurance Program (OASDI). Sections 228(a)(3), 1614(a)(1)(B), and 1836(2) of the Act require a determination of the citizenship or alien status of the beneficiary; this is only one item that we might question as part of the Annual Quality review. SSA uses Forms SSA-2930, SSA-2931, and SSA-2932 to establish a national payment accuracy rate for all cases in payment status, and to serve as a source of information regarding problem areas in the Retirement Survivors Insurance (RSI) and Disability Insurance (DI) programs. We also use the information to measure the accuracy rate for newly adjudicated RSI or DI cases. SSA uses Form SSA-4659 to evaluate the effectiveness of the annual earnings test, and to use the results in developing ongoing improvements in the process. About twenty-five percent of respondents will have in-person reviews and receive one of the following appointment letters: (1) SSA-L8550-U3 (Appointment Letter – Sample Individual); (2) SSA-L8551-U3 (Appointment Letter – Sample Family); or (3) the SSA-L8552-U3 (Appointment Letter – Rep Payee). Seventy-five percent of respondents will receive a notice for a telephone review using the SSA-L8553-U3 (Beneficiary Telephone Contact) or the SSA-L8554-U3 (Rep Payee Telephone Contact). To help the beneficiary prepare for the interview, we include three forms with each notice: (1) SSA-85 (Information Needed to Review Your Social Security Claim) lists the information the beneficiary will need to gather for the interview; (2) SSA-2935 (Authorization to the Social Security Administration to Obtain Personal Information) verifies the beneficiary’s correct payment amount, if necessary; and (3) SSA-8552 (Interview Confirmation) confirms or reschedules the interview if necessary. The respondents are a statistically valid sample of all OASDI beneficiaries in current pay status or their representative payees.

US Code: 42 USC 1382c Name of Law: Social Security Act
   US Code: 42 USC 428 Name of Law: Social Security Act
   US Code: 42 USC 1395o Name of Law: Social Security Act
   US Code: 42 USC 405 Name of Law: Social Security Act
  
None

Not associated with rulemaking

  90 FR 14891 04/04/2025
90 FR 25734 06/17/2025
No

  Total Request 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 17,700 18,215 0 -515 0 0
Annual Time Burden (Hours) 55,582 7,686 0 -189 48,085 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
As we are removing three of the notices we previously used with this collection since we no longer need them, we have revised the burden accordingly from 2,525 hours to 2,482 hours. We discuss the removal of these notices in the Addendum to the Supporting Statement. * Note: The total burden reflected in ROCIS is 55,582, while the burden cited in #12 of the Supporting Statement is 2,482. This discrepancy is because the ROCIS burden reflects the telephone center waiting time (currently 180 minutes). In contrast, the chart in #12 of the Supporting Statement reflects actual burden.

$80,459
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.
06/27/2025