OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers

ICR 201709-0960-002 · OMB 0960-0807 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form SSA-8420 SSA-8240 (paper) Form Modified Available
Justification for the Non-Substantive Changes - Including Fillable Version - 0807.docx Justification for No Material/Nonsubstantive Change Uploaded 2017-09-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
226074 Revoking Authorization Other-Internet Screens Unchanged
226002 Internet (BBA 824) Other-Payroll Data Release Form Screen Unchanged
225980 Title II & Title XVI Electronic (MCS MSSICS, iClaim, and eWork) Other-Internet screens Unchanged
225979 SSA-8240 (paper) Form Modified
ICR Details
0960-0807 201709-0960-002
Historical Active 201703-0960-002
SSA
Authorization for the Social Security Administration to Obtain Wage and Employment Information from Payroll Data Providers
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 01/25/2018
Retrieve Notice of Action (NOA) 09/08/2017
In accordance with 5 CFR 1320, the information collection is approved.
  Inventory as of this Action Requested Previously Approved
08/31/2020 08/31/2020 08/31/2020
4,025,127 0 4,025,127
168,805 0 168,805
0 0 0
SSA uses the form SSA-8240 to collect authorization from the public to obtain their wage and employment information from payroll data providers to determine program eligibility and payment amounts. This collection is voluntary, however, failure to provide authorization may prevent SSA from making accurate and timely eligibility determinations and payments. We will request authorization on an as needed basis during contact with the individual including: (a) SSDI and SSI initial claims, (b) SSI redeterminations, and (c) SSDI Work Continuing Disability Reviews. The respondents are individuals who file for or are currently receiving SSDI or SSI payments and any person whose income and resources we count when determining an individual’s SSI eligibility or payment amount. We are making the Form SSA-8240 fillable.
PL: Pub.L. 114 - 74 824 Name of Law: Bipartisan Budget Act
  
None
Not associated with rulemaking
  82 FR 13914 03/15/2017
82 FR 23695 05/23/2017
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 4,025,127 4,025,127 0 0 0 0
Annual Time Burden (Hours) 168,805 168,805 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$8,410,803
No
    Yes
    Yes
No
No
No
Uncollected
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.
09/08/2017