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Federal forms, ICRs, and supporting documents

Information Collection Request

Letter to Custodian of Birth Records

ICR 201904-0960-011 · OMB 0960-0693 · Active

Forms and Documents
Document
Name
Status
Form
 Modified
Form and Instruction
 New
Form and Instruction
 New
Form
 Modified
Form
 Modified
Form and Instruction
 Modified
Supplementary Document
2019-10-04
Supporting Statement A
2020-01-27
IC Document Collections
IC ID
Document
Title
Status
9747 Modified
238009 New
238008 New
182865 Modified
182860 Modified
182859 Modified
ICR Details
0960-0693 201904-0960-011
Active 201605-0960-003
SSA
Letter to Custodian of Birth Records
Revision of a currently approved collection   No
Regular
Approved with change 01/28/2020
Retrieve Notice of Action (NOA) 10/04/2019
  Inventory as of this Action Requested Previously Approved
01/31/2023 36 Months From Approved 01/31/2020
1,774 0 7,200
163 0 1,200
0 0 0
SSA prepares Form SSA-L106 (Letter to Custodian of School Records)and SSA-L706 (Letter to Custodian of Birth Records) for individuals who need help in obtaining evidence of their age in connection with Social Security number (SSN) card applications and claims for benefits or Supplemental Security Income (SSI). SSA uses the SSA-L106 to determine the existence of primary evidence of age for SSN applicants. SSA also uses both letters to verify with the issuing entity, when necessary, the authenticity of the record submitted by the SSN applicant or claimant. The respondents are the beneficiaries and claimants who sign the letters; and the schools, State and local bureaus of vital statistics, and religious entities who submit the information regarding evidence of age for the beneficiary or claimant.
US Code: 42 USC 405 Name of Law: Social Security Act
  
None
Not associated with rulemaking
  84 FR 25891 06/04/2019
84 FR 40121 08/13/2019
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 1,774 7,200 0 0 -5,426 0
Annual Time Burden (Hours) 163 1,200 0 0 -1,037 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There is a significant decrease in the public reporting burden. This change stems from a decrease in the number of respondents using these forms. The figures reported in 2016 were an estimate based on old data. In this ICR, we were able to obtain more accurate information data for the number of respondents. There is no change to the burden time per response for the respondents who complete these forms. SSA did not take any actions to cause this change. In addition, we are increasing the burden by including the one-minute burden for the claimants and beneficiaries for whom we complete this form to sign these forms before we send them. While we have always asked the claimants or beneficiaries to sign these forms, we only recently realized that we were no longer showing this minor burden in our burden estimates. This is an oversight, which we are correcting now.
$3,106
No
    Yes
    Yes
No
No
No
Uncollected
Faye Lipsky 410 965-8783 faye.lipsky@ssa.gov
  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.
10/04/2019