[Federal Register Volume 70, Number 238 (Tuesday, December 13, 2005)]
[Notices]
[Pages 73815-73817]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E5-7242]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed Request and
Comment Request
The Social Security Administration (SSA) publishes a list of
information collection packages that will require clearance by the
Office of Management and Budget (OMB) in compliance with Public Law
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995.
The information collection packages that may be included in this notice
are for new information collections, approval of existing information
collections, revisions to OMB-approved information collections, and
extensions (no change) of OMB-approved information collections.
SSA is soliciting comments on the accuracy of the agency's burden
estimate; the need for the information; its practical utility; ways to
enhance its quality, utility, and clarity; and on ways to minimize
burden on respondents, including the use of automated collection
techniques or other forms of information technology. Written comments
and recommendations regarding the information collection(s) should be
submitted to the OMB Desk Officer and the SSA Reports Clearance
Officer. The information can be mailed and/or faxed to the individuals
at the addresses and fax numbers listed below:
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA.
Fax: 202-395-6974.
(SSA), Social Security Administration, DCFAM, Attn: Reports
Clearance Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore,
MD 21235. Fax: 410-965-6400.
I. The information collections listed below are pending at SSA and
will be submitted to OMB within 60 days from the date of this notice.
Therefore, your comments should be submitted to SSA within 60 days from
the date of this publication. You can obtain copies of the collection
instruments by calling the SSA Reports Clearance Officer at 410-965-
0454 or by writing to the address listed above.
1. 20 Day Letter to Representative-Claimant's Benefits Withheld--20
CFR 404.1720, 404.1725, 404.1730(b), 404.1730(c)(2)(i) and (ii),
416.1520, 416.1525, 416.1530(b)--0960-NEW. In a favorable decision
where there are past-due benefits, SSA withholds a portion of those
benefits for potential direct payment to a representative. 20 CFR
404.1730(c)(2)(i) requires a representative to make a timely request
for fee approval if the representative wishes to receive direct
payment. As a courtesy, SSA sends this letter to a representative
before releasing withheld funds to the claimant. Respondents are
representatives who wish to receive direct payment.
Type of Request: Collection in Use Without OMB Number.
Number of Respondents: 1,000.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 83 hours.
2. Recommendation for Fee Greater Than $7000--Referral to Regional
Chief Administrative Law Judge--20 CFR 404.1720, 404.1725, 404.1730(b),
404.1730(c)(2)(i) and (ii), 416.1520, 416.1525, 416.1530(b)--0960-NEW.
This letter refers an ALJ's recommendation on a fee petition to a
Regional Chief Administrative Law Judge (RCALJ) with a courtesy copy to
the representative. The RCALJ, who is an SSA employee, will
subsequently inform the representative of the approved fee. Respondents
are representatives with fee petitions greater than $7000.
Type of Request: Collection in Use Without OMB Number.
Number of Respondents: 1,000.
Frequency of Response: 1.
Average Burden Per Response: 1 minute.
Estimated Annual Burden: 17 hours.
3. Request for DDS Assistance in Obtaining Consultative
Examination--20 CFR 404.1512, 404.1513(a), (b) and (e), 404.1514,
404.1517, 404.1546, 416.912, 416.913(a), (b) and (e), 416.917,
416.946--0960-NEW. SSA requires that consultative examinations be
scheduled through the state DDSs. When an ALJ believes a CE is
required, this form is used to transmit the request, and a courtesy
status letter is sent to the claimant. Respondents are claimants
requesting DDS assistance in obtaining consultative examinations.
Type of Request: Collection in Use Without OMB Number.
Number of Respondents: 102,000.
Frequency of Response: 1.
Average Burden Per Response: 35 minutes.
Estimated Annual Burden: 59,500 hours.
4. Request for Evidence from Doctor or Hospital--20 CFR 404.1512,
404.1513(a), (b), and (e), 404.1514, 416.912, 416.913(a), (b) and (e),
416.914--0960-NEW. Claimants are required to provide medical evidence
of their impairment(s) in pursuing a disability claim. SSA uses these
forms to request medical evidence from sources (doctors and hospitals)
where the claimant has been treated, seen or otherwise evaluated.
Respondents are doctors and hospitals where the claimant has been
evaluated.
Type of Request: Collection in Use Without OMB Number.
Number of Respondents: 20,000.
Frequency of Response: 20.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 100,000 hours.
5. Request for School Records--20 CFR part 416, subpart I, 416.906,
416.913, 416.946, 404, subpart P, Appendix 1--0960-NEW. School records
are pertinent evidence in a childhood claim for disability benefits.
ALJs use this for to request that evidence. This letter will be used to
request school records from the school(s) which the claimant has
attended for evidence relative to the claimant's impairments or ability
to do age-appropriate activities. Respondents are the school(s) which
the claimant has attended.
Type of Request: Collection in Use Without OMB Number.
Number of Respondents: 10,000.
Frequency of Response: 6.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 30,000 hours.
6. 20 CFR part 429, subpart 100, Filing Claims Under the Federal
Tort Claims Act--20 CFR 429.101-429.110--0960-0667. SSA uses the
information provided to investigate and determine whether to make an
award, compromise, or settlement under the Federal Tort Claims Act
(FTCA). The information is only used by those Agency employees who need
the information in the scope of their official duties. The respondents
are individuals/entities making a claim under the FTCA.
Type of Request: Extension of an OMB-approved information
collection.
[[Page 73816]]
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Average
Annual number Frequency of burden per Estimated
Section of responses response response annual burden
(minutes) hours
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429.102; 429.103................................ 1 1 1 1
429.104(a)...................................... 30 1 5 2.5
429.104(b)...................................... 25 1 5 2
429.104(c)...................................... 2 1 5 .16
429.106(b)...................................... 10 1 10 1.6
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Total Estimated Annual Burden: 7 hours
II. The information collections listed below have been submitted to
OMB for clearance. Your comments on the information collections would
be most useful if received by OMB and SSA within 30 days from the date
of this publication. You can obtain a copy of the OMB clearance
packages by calling the SSA Reports Clearance Officer at 410-965-0454,
or by writing to the address listed above.
1. Application for Mother's or Father's Insurance Benefits--20 CFR
404.339-404.342, 20 CFR 404.601-404.603--0960-0003. SSA collects the
information on the SSA-5-F6 to entitle an individual to his/her
mother's and father's insurance benefits. The respondents are
individuals applying for entitlement to their mothers' or fathers'
benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 12,500 hours.
2. Missing and Discrepant Wage Reports Letter and Questionnaire--26
CFR 31.6051-2--0960-0432. Each year employers report the wage amounts
they paid their employees to IRS for tax purposes, and, separately, to
SSA for retirement and disability coverage purposes. These amounts
should be the same; however, each year many employer wage reports
received by SSA are less than those reported to IRS. Through Forms SSA-
L93, 95, and 97, SSA attempts to reconcile the amounts to ensure
employees receive full credit. The respondents are employers who
reported less wage amounts to SSA than they did to IRS.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 359,999.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 180,000 hours.
3. Marital Relationship Questionnaire--20 CFR 416.1826--0960-0460.
Form SSA-4178 provides a nationally uniform vehicle for collection of
information to determine for Supplemental Security Income (SSI)
purposes whether unrelated individuals of the opposite sex who live
together are holding themselves out to the public as husband and wife.
The information is necessary to determine whether correct payment is
being made to SSI couples and individuals. The respondents are
applicants for, and recipients of, SSI benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 5,100.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 425 hours.
4. Information Collection Requirements for Title VIII of the Social
Security Act--20 CFR 408.202(d), 408.210, 408.230(a), 408.232(a),
408.320, 408.305, 408.310, 408.315, 408.340, 408.345, 408.351(d) and
(f), 408.355(a), 408.360(a), 408.404(c), 408.410, 408.412, 408.420(a)
and (b), 408.430, 408.432, 408.435(a) and (b), 408.437(b), (c) and
(d)--0960-0658. Section 251 of the ``Foster Care Independence Act of
1999'' added Title VIII to the Social Security Act (Special Benefits
for Certain World War II Veterans). Title VIII allows, under certain
circumstances, the payment of a monthly benefit by the Commissioner of
Social Security to a qualified World War II veteran who resides outside
the United States. The accompanying regulations set out the
requirements an individual must meet in order to qualify for and become
entitled to Special Veterans Benefits (SVB). The respondents are
individuals who are applying for benefits under Title VIII of the
Social Security Act.
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Average
Number of Frequency of burden per Estimated
Section number respondents response response annual hour
(hrs.) burden
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Sec. 408.202(d); Sec. 408.210; Sec. 1 1 1 1
408.230(a); Sec. 408.305; Sec. Sec.
408.310-.315...................................
Sec. 408.232(a)............................... 5 1 .25 1.25
Sec. 408.320.................................. 5 1 .25 1.25
Sec. 408.340.................................. 5 1 .25 1.25
Sec. 408.345.................................. 2 1 .25 .50
Sec. 408.351(d) & (f)......................... 2 1 .50 1
Sec. 408.355(a)............................... 5 1 .25 1.25
Sec. 408.360(a)............................... 2 1 .25 .50
Sec. 408.404(c)............................... 20 1 .25 5
Sec. Sec. 408.410-412........................ 20 1 .25 5
Sec. 408.420(a), (b).......................... 230 1 .25 58
Sec. Sec. 408.430 & .432..................... 215 1 .50 108
Sec. 408.435(a), (b),(c)...................... 230 1 .25 58
Sec. 408.437(b), (c),(d)...................... 20 1 .50 10
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[[Page 73817]]
Total Estimated Annual Burden: 252 hours.
Dated: December 7, 2005.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E5-7242 Filed 12-12-05; 8:45 am]
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