[Federal Register Volume 75, Number 102 (Thursday, May 27, 2010)]
[Notices]
[Pages 29797-29798]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-12752]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: 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 and a collection in use without an OMB number.
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 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 SSA Reports Clearance Director to the following
addresses or fax numbers.
(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].
SSA submitted the information collections listed below to OMB for
clearance. Your comments on the information collections would be most
useful if OMB and SSA receive them within 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than June 28, 2010. You can obtain a copy of the OMB clearance
packages by calling the SSA Director for Reports Clearance at 410-965-
0454 or by writing to the above e-mail address.
1. Application for Lump Sum Death Payment--20 CFR 404.390-404.392--
0960-0013. SSA uses Form SSA-8-F4 to collect information needed to
authorize payment of the lump sum death payment (LSDP) to a widow,
widower, or children as defined in Section 202(i) of the Social
Security Act. Respondents complete the application for this one-time
payment via paper form, telephone, or an in-person interview with SSA
employees. Respondents are applicants for the LSDP.
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Number of
Collection method respondents Estimated completion time Burden hours
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MCS........................................... 278,825 10 minutes...................... 46,471
MCS/Signature Proxy........................... 278,825 9 minutes....................... 41,824
Paper......................................... 29,350 10 minutes...................... 4,892
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Totals.................................... 587,000 ................................ 93,187
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2. Supplemental Statement Regarding Farming Activities of Person
Living Outside the U.S.A.--0960-0103. SSA uses Form SSA-7163A to
document beneficiary or claimant reports of working on a farm outside
the United States. Specifically, the information helps us to determine
if we should apply foreign work deductions to the recipient's Title II
benefits. We collect the information either annually or every other
year, depending on the respondent's country of residence. Respondents
are Social Security recipients engaged in farming activities outside
the United States.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 1,000.
Frequency of Response: 1.
Average Burden per Response: 1 hour.
Estimated Annual Burden: 1,000 hours.
3. Request for Earnings and Benefit Estimate Statement--20 CFR
404.810--0960-0466. SSA uses the information respondents provide on
Form SSA-7004 to identify respondents' Social Security earnings
records, extract posted earnings information, calculate potential
benefit estimates, produce the resulting Social Security statements,
and mail them to the requesters. The respondents are Social Security
number holders requesting information about their Social Security
earnings records and estimates of their potential benefits.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Total annual
Collection instrument Number of Frequency of per response burden
respondents response (minutes) (hours)
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Paper Version................................... 127,000 1 5 10,583
Internet Version................................ 426,000 1 5 35,500
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[[Page 29798]]
Totals...................................... 553,000 .............. .............. 46,083
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4. Beneficiary Recontact Form--20 CFR 404.703, 404.705--0960-0502.
SSA must ensure that recipients of disability benefits continue to be
eligible for their payments. Research has indicated benefit recipients
may fail to report circumstances that affect their benefits. Two such
cases are: (1) When a parent receiving disability benefits for his or
her child marry; and (2) the removal of an entitled child from parents'
care. SSA uses Form SSA-1588-OCR-SM to ask parents about their marital
status and children in their care to detect overpayments and avoid
improper payments. Respondents are recipients of mother/father Title II
Social Security benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 133,400.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 11,117 hours.
5. Complaint Form for Allegations of Discrimination in Programs or
Activities Conducted by the Social Security Administration--0960-0585.
SSA uses Form SSA-437 to investigate and formally resolve complaints of
discrimination based on disability, race, color, national origin
(including limited English proficiency), sex, sexual orientation, age,
religion, or retaliation for having participated in a proceeding under
this administrative complaint process in connection with an SSA program
or activity. SSA also uses this form to review, investigate, and
resolve complaints alleging discrimination based on status as a parent
in education, training programs, or activities conducted by SSA.
Individuals who believe SSA discriminated against them on any of the
above basis may file a written complaint of discrimination. SSA uses
the information to identify the complainant; identify the alleged
discriminatory act; ascertain the date of such alleged act; obtain the
identity of any individual(s) with information about the alleged
discrimination; and ascertain other relevant information that would
assist in the investigation and resolution of the complaint.
Respondents are individuals who believe SSA or SSA employees,
contractors, or agents in programs or activities conducted by SSA
discriminated against them.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 140.
Frequency of Response: 1.
Average Burden per Response: 60 minutes.
Estimated Annual Burden: 140 hours.
Dated: May 24, 2010.
Faye I. Lipsky,
Center for Reports Clearance, Social Security Administration.
[FR Doc. 2010-12752 Filed 5-26-10; 8:45 am]
BILLING CODE 4191-02-P