Certification by Religious Group

Forms and Documents

Document Name	Status
Form SSA-1458 Certification by Religious Group Form	Modified
Supporting Statement 0093.doc Supporting Statement A	2012-07-16
Addendum.doc Supporting Statement B	2012-05-10

IC Document Collections

IC ID	Document Title	Status
43692	Certification by Religious Group Form	Modified

ICR Details

OMB Control No: 0960-0093	ICR Reference No: 201204-0960-008
Status: Historical Active	Previous ICR Reference No: 200903-0960-004
Agency/Subagency: SSA	Agency Tracking No:
Title: Certification by Religious Group
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/31/2012
	Date Received in OIRA: 07/19/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2015	36 Months From Approved	10/31/2012
Responses	180	0	180
Time Burden (Hours)	45	0	45
Cost Burden (Dollars)	0	0	0

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Abstract: SSA is responsible for determining whether religious groups or sects meet the qualifications exempting certain members and sects from payment of Self-Employment Contribution Act taxes under Internal Revenue Code, section 1402(g). SSA sends Form SSA-1458 to a group's authorized spokesperson to complete and verify organizational members meet or continue to meet the criteria for exemption. Respondents are spokespersons for religious groups or sects.

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Authorizing Statute(s): US Code: 42 USC 1352 Name of Law: Social Security Act
   US Code: 42 USC 402(v) Name of Law: Internal Revenue Code
   US Code: 42 USC 411 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:
	77 FR 27264	05/09/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 41874	07/16/2012
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
Certification by Religious Group	SSA-1458	Certification by Religious Group

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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	180	180	0	0	0	0
Annual Time Burden (Hours)	45	45	0	0	0	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:

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Annual Cost to Federal Government: $1,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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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: 07/19/2012

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