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Federal forms, ICRs, and supporting documents

Information Collection Request

Partnership Questionnaire

ICR 202404-0960-012 · OMB 0960-0025 · Received in OIRA

Forms and Documents
Document
Name
Status
Form
 Modified
Form
 New
Supplementary Document
2024-07-03
Supporting Statement A
2024-07-10
IC Document Collections
IC ID
Document
Title
Status
8923 Modified
269180 New
ICR Details
0960-0025 202404-0960-012
Received in OIRA 202012-0960-005
SSA
Partnership Questionnaire
Revision of a currently approved collection   No
Regular 07/10/2024
  Requested Previously Approved
36 Months From Approved 07/31/2024
6,462 12,350
5,385 12,350
0 0
SSA considers partnership income in determining entitlement to Social Security benefits. SSA uses information from Form SSA-7104 to determine several aspects of eligibility for benefits, including the accuracy of reported partnership earnings; the veracity of a retirement; and lag earnings where SSA needs this information to determine the status of the insured. The respondents are applicants for, and recipients of, Title II Social Security benefits who are reporting partnership earnings.
US Code: 40 USC 402 Name of Law: Social Security Act
   US Code: 40 USC 405 Name of Law: Social Security Act
  
None
Not associated with rulemaking
  89 FR 30428 04/23/2024
89 FR 55666 07/05/2024
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 6,462 12,350 0 0 -5,888 0
Annual Time Burden (Hours) 5,385 12,350 0 0 -6,965 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
When we last cleared this IC in 2021, the burden was 12,350 hours. However, we are currently reporting a burden of 2,154 hours. This change stems from both a decrease in the number of respondents using Form SSA-7104, as well as a change in the source of our management information (MI) data to a more accurate source, which shows that our old data showed overestimated numbers for this form. We are correcting for this issue now. These figures represent current MI data. 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. * Note: The total burden reflected in ROCIS is 5,385, while the burden cited in #12 of the Supporting Statement is 2,154. This discrepancy is because the ROCIS burden reflects the following components: field office waiting time + a rough estimate of a 30-minute, one-way, drive burden + learning costs. In contrast, the chart in #12 of the Supporting Statement reflects actual burden.
$16,372
No
    Yes
    Yes
No
No
No
No
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.
07/10/2024