Information Collection Request

Employer Report of Special Wage Payments

ICR 202603-0960-008 · OMB 0960-0565 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form SSA-131 Employer Report of Special Wage Payments Form Modified Available
Form SSA-131 Employer Report of Special Wage Payments Form Modified Available
Addendum - 0565.docx Supplementary Document Uploaded 2026-04-28 Available
Supporting Statement - 0565.docx Supporting Statement A Uploaded 2026-04-28 Available
IC Document Collections
IC IDCollectionTypeStatusForm
9507 Employer Report of Special Wage Payments - Paper Version - No Response to Question #6 Form ModifiedEmployer Report of Special Wage Payments
195194 BSO Special Wage Payments Submission - Electronic Version Other-Internet Screens Modified
183800 Employer Report of Special Wage Payments - Paper Version - #6 Only Form ModifiedEmployer Report of Special Wage Payments
ICR Details
0960-0565 202603-0960-008
Received in OIRA 201912-0960-004
SSA
Employer Report of Special Wage Payments
Revision of a currently approved collection   No
Regular 04/28/2026
  Requested Previously Approved
36 Months From Approved 05/31/2026
117,148 106,076
22,320 35,037
0 0

SSA collects information on the SSA-131 to prevent earnings-related overpayments, and to avoid erroneous withholding of benefits. SSA field offices and program service centers also use Form SSA-131 for awards and post-entitlement events requiring special wage payment verification from employers. While we need this information to ensure the correct payment of benefits, we do not require employers to respond. The respondents are large and small businesses that make special wage payments to retirees.

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

Not associated with rulemaking

  91 FR 9671 02/26/2026
91 FR 22195 04/24/2026
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 117,148 106,076 0 0 11,072 0
Annual Time Burden (Hours) 22,320 35,037 0 0 -12,717 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
When we last cleared this IC in 2023, the burden was 35,037 hours. However, we are currently reporting a burden of 16,461 hours. While we are showing a minor increase in the number of respondents, this change stems an overall decrease in the burden as more respondents are submitting the electronic version of the SSA 131 through Business Services Online which takes significantly less time than it does for respondents to complete the paper version and mail it to SSA. 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. * Note: The total burden reflected in ROCIS is 22,320, while the burden cited in #12 of the Supporting Statement is 16,461. This discrepancy is because the ROCIS burden reflects learning costs in addition to the burden for completing the form. In contrast, the chart in #12 of the Supporting Statement reflects actual burden.

$11,344,877
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.
04/28/2026