[Federal Register Volume 74, Number 169 (Wednesday, September 2, 2009)]
[Notices]
[Pages 45508-45510]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-21215]
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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 requiring clearance by the Office of
Management and Budget (OMB) in compliance with Public Law (Pub. L.)
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995.
This notice includes revisions and extensions 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 ways to minimize the
burden on respondents, including the use of automated collection
techniques or other forms of information technology. Mail, e-mail, or
fax your comments and recommendations on the information collection(s)
to the OMB Desk Officer and the SSA Director for Reports Clearance to
the addresses or fax numbers shown below.
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA.
Fax: 202-395-6974. E-mail address: [email protected].
(SSA), Social Security Administration, DCBFM, Attn: Director, Center
for Reports Clearance, 1333 Annex Building, 6401 Security Blvd.,
Baltimore, MD 21235. Fax: 410-965-0454. E-mail address:
[email protected].
The information collections below are pending at SSA. SSA will
submit them to OMB within 60 days from the date of this notice. To be
sure we consider your comments, we must receive them no later than
November 2, 2009. Individuals can obtain copies of the collection
instruments by calling the SSA Director for Reports Clearance at 410-
965-0454 or by writing to the e-mail address we list above.
1. Blood Donor Locator Service (BDLS)--20 CFR 401.200--0960-0501.
This regulation stipulates that when blood donor facilities identify
blood donations as Human Immunodeficiency Virus (HIV)-positive, the
overseeing State agency must provide the names and Social Security
Numbers of the affected donors to SSA's Blood Donor Locator Service.
SSA uses this information to furnish the State agencies with the blood
donors' address information to notify the blood donors. Respondents are
State agencies acting on behalf of blood donor facilities.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 10.
Frequency of Response: 5.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 13 hours.
2. Continuation of SSI Benefits for the Temporarily
Institutionalized--Certification of Period and Need to Maintain Home--
20 CFR 416.212(b)(1)--0960-0516. When Supplemental Security Income
(SSI) recipients: (1) Enter a public institution, or (2) enter a
private medical institution with Medicaid paying more than 50% of
expenses, their SSI payments are reduced to a nominal sum. However, if
this institutionalization is temporary (defined as a maximum of 3
months), SSA may waive the reduction of benefits.
Before SSA can waive the benefit reduction, the agency must receive
the following documentation: (1) A physician's certification that the
beneficiary will only be institutionalized for a maximum of 3 months,
and (2) certification from the beneficiary, beneficiary's family, or
beneficiary's friend confirming that SSI benefits are needed to
maintain the living arrangements to which the beneficiary will return
post-institutionalization. The respondents are doctors of SSI
beneficiaries and the beneficiaries or their family/friends.
Type of Request: Extension of an OMB-approved information
collection.
[[Page 45509]]
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 5,000 hours.
3. Privacy and Disclosure of Official Records and Information;
Availability of Information and Records to the Public--20 CFR
401.40(b)&(c), 401.55(b), 401.100(a), 402.130, 402.185--0960-0566.
Under the Privacy and Disclosure of Official Records and Information,
SSA has established methods in which the public can request the
following: Access to their SSA records; disclosure of SSA records;
corrections/amendments to their SSA records; consent for release of
records; records accessible through the Freedom of Information Act
(FOIA); and waiver/reduction of fees normally charged for release of
FOIA records. SSA most often collected the required information for
these requests through a written letter, with the exception of the
consent for release of records for which there is the Form SSA-3288.
Respondents are individuals requesting access to, correction of, or
disclosure of SSA records.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Type of request Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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Access to Records............................... 10,000 1 11 1,833
Designating a Representative for Disclosure of 3,000 1 2 100
Records........................................
Amendment of Records............................ 100 1 10 17
Consent of Release of Records................... 3,000,000 1 3 150,000
FOIA Requests for Records....................... 15,000 1 5 1,250
Waiver/Reduction of Fees........................ 400 1 5 33
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Totals...................................... 3,028,500 .............. .............. 153,233
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4. Representative Payee Report of Benefits and Dedicated Account--
20 CFR 416.546, 416.635, 416.640, 416.665--0960-0576. SSA requires
representative payees (RPs) to submit a written report accounting for
the use of money paid to Social Security and/or Supplemental Security
Income (SSI) recipients, and to establish and maintain a dedicated
account for these payments. SSA uses Form SSA-6233 to ensure the RPs
are using the benefits received for the recipient's current maintenance
and personal needs, and the expenditures of funds from the dedicated
account are in compliance with the law. Respondents are representative
payees for SSI recipients.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 30,000.
Frequency of Response: 1.
Average Burden per Response: 20 minutes.
Estimated Annual Burden: 10,000 hours.
5. The Ticket to Work and Self-Sufficiency Program --20 CFR 411--
0960-0644. Through its Ticket to Work Program Manager, SSA uses the
information collected to operate and manage the Ticket to Work Program.
SSA uses the Ticket to Work Program to assign Social Security
Disability Insurance (SSDI) or Supplemental Security Income (SSI)
beneficiaries to a service provider, and follows their progress through
the various stages of ticket program participation, such as progress
reviews or changes in ticket status. Most of the collections in this
Information Collection Request (ICR) require service providers to
provide information to SSA for such tasks as selecting a payment system
or requesting payments for helping the beneficiary achieve certain work
goals. Most of the categories of information collected in this ICR are
necessary for SSA to: (1) Comply with the Ticket to Work legislation,
and (2) provide proper oversight of the program. SSA collects this
information through several modalities, including forms, electronic
exchanges, and written documentation. The respondents are SSDI
beneficiaries and blind or disabled SSI beneficiaries and their
employment networks or State vocational rehabilitation agencies
assigned under the auspices of the Ticket to Work Program.
Type of Request: Revision of an OMB approved information
collection.
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Average burden Total annual
Modality of completion Number of Frequency of per response burden
respondents response (minutes) (hours)
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(a) 20 CFR 411.140(d)(3); 411.150(b)(3); 13,700 1 240 54,800
411.325(a); SSA-1365; SSA-1370.................
(a) 20 CFR 411.166; 411.170(b); Electronic Data 35,584 1 5 2965
Sharing........................................
(b) 20 CFR 411.145; 411.325; Requesting Ticket 2,532 1 15 633
Un-assignments.................................
(b) 20 CFR 411.535(a)(1)(iii); VR Case Closures. 8,505 1 5 709
(c) 20 CFR 411.192(b)&(c); Request to Place 1,000 1 30 500
Ticket in Inactive Status......................
(c) 20 CFR 411.200(b); SSA-1375; SSA-L1373; SSA- 127,000 1 15 31,750
L1374; SSA-L1377; Certification of Work and
Educational Progress...........................
(c) 20 CFR 411.210(b); Ticket-Use Status after 3,145 1 30 1,573
Not Making Timely Progress.....................
(d) 20 CFR 411.365; 411.505; 411.515; Selecting 118 1 30 59
a Payment System...............................
(e) 20 CFR 411.325(d); 411.415; Reporting 48 1 480 384
Referral Agreement.............................
(f) 20 CFR 411.575; SSA-1391; SSA-1389; SSA- 12,420 1 60 12,420
1393; SSA-1399; SSA-1396; SSA-1392; SSA-1398;
Requesting EN Payments.........................
(f) 20 CFR 411.560; SSA-1401; Split Payment 100 1 20 33
Situations.....................................
(g) 20 CFR 411.325(f); Periodic Outcomes 2,470 1 120 4,940
Reporting......................................
(h) 20 CFR 411.435; 411.615; 411.625; Dispute 2 1 120 4
Resolutions....................................
[[Page 45510]]
(i) 20 CFR 411.320;............................. 202 1 10 34
SSA-1394; EN Contract Changes...................
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Totals...................................... 206,826 .............. .............. 110,804
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6. Medical Consultant's Review of Psychiatric Review Technique
Form--20 CFR 404.1520a, 404.1640, 404.1643, 404.1645, 416.920a--0960-
0677. Form SSA-3023 is a program evaluation form SSA's regional review
component uses to facilitate the contract medical/psychological
consultant's review of the Psychiatric Review Technique Form (PRTF).
SSA-3023 records the reviewing medical/psychological consultant's
assessment of the PRTF. The medical/psychological consultant only
completes form SSA-3023 when an adjudicating component's PRT is in the
file. SSA requires form SSA-3023 for each PRT form completed. The
respondents are medical/psychological consultants who review the
Psychiatric Review Technique Form for quality purposes.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 344.
Frequency of Response: 165.
Average Burden per Response: 12 minutes.
Estimated Annual Burden: 11,352 hours.
Dated: August 28, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-21215 Filed 9-1-09; 8:45 am]
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