[Federal Register Volume 75, Number 171 (Friday, September 3, 2010)]
[Notices]
[Pages 54211-54213]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-22068]
=======================================================================
-----------------------------------------------------------------------
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 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 Officer 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: Reports Clearance
Officer. 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235.
Fax: 410-965-6400. E-mail address: [email protected].
I. 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, 2010. Individuals can obtain copies of the collection
instruments by calling the SSA Reports Clearance Officer at 410-965-
8783 or by writing to the above e[dash]mail address.
1. Modified Benefit Formula Questionnaire-Employer--20 CFR 401 &
402--0960-0477. SSA collects information on Form SSA-58 to verify the
claimant's allegations on Form SSA-150 (OMB 0960-0395,
Modified Benefits Formula Questionnaire). SSA uses the SSA-58 to
determine if the modified benefit formula is applicable and when to
apply it to a person's benefit. SSA sends Form SSA-58 to an
[[Page 54212]]
employer for pension-related information, if the claimant is unable to
provide it. The respondents are employers of people who are eligible
after 1985 for both Social Security benefits and a pension based on
work not covered by SSA.
Type of Request: Revision 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.
II. SSA has 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 October 4, 2010. You can obtain a copy of
the OMB clearance packages by calling the SSA Reports Clearance Officer
at 410-965-8783 or by writing to the above e-mail address.
1. Medical Report (General)--20 CFR 404.1512-404.1515, 416.912-
416.915--0960-0052. Through the State Disability Determination Services
(DDS), SSA uses Form SSA-3826-F4 to make accurate determinations in
disability claims cases. SSA collects the information to determine the
claimant's physical and mental status prior to making a disability
determination, and to document the disability claims folder with the
medical evidence. The form provides disability adjudicators and
reviewers with a narrative record and history of the disability and the
objective medical findings necessary to make a disability
determination. SSA uses the medical evidence from this form to
determine if an individual's impairment meets the severity and duration
requirements for disability benefits. The respondents are members of
the medical community, including individual physicians, hospital
doctors, medical records librarians, and other medical sources.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 150,000.
Frequency of Response: 1.
Average Burden per Response: 30 minutes.
Estimated Annual Burden: 75,000 hours.
2. Disability Report--Child--20 CFR 416.912--0960-0577. When
claimants file for childhood disability benefits under the Supplemental
Security Income (SSI) program, they must furnish medical and other
evidence to prove they are disabled.
Form SSA-3820 collects various types of information about a child's
condition from treating sources and other medical sources of evidence.
The DDS evaluators use the information to develop medical and school
evidence and assess the alleged disability. The information, together
with medical evidence, forms the evidentiary basis upon which SSA makes
its initial disability evaluation. The respondents are claimants
seeking SSI childhood disability payments.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden
Collection method Number of Frequency of per responses Estimated annual
respondents respondents (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3820 (Paper Form)................... 500 1 60 500
Electronic Disability Collection System 422,000 1 34 239,133
EDCS)..................................
I3820 (Internet)........................ 93,293 1 120 186,586
-----------------------------------------------------------------------
Totals.............................. 515,793 ................ ................ 426,219
----------------------------------------------------------------------------------------------------------------
3. Letter to Custodian of Birth Records/Letter to Custodian of
School Records--20 CFR 404.704, 404.716, 416.802, and 422.107--0960-
0693. SSA prepares the SSA-L106 and SSA-L706 for individuals who need
help in obtaining evidence of their age in connection with Social
Security number (SSN) card applications and claims for benefits. SSA
also uses the SSA-L706 to determine the existence of primary evidence
of age for SSN applicants. SSA 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
schools, State and local bureaus of vital statistics, and religious
entities.
Note: This is a correction notice: SSA published this
information collection with the correct burden hours at 75 FR 35512
on June 22, 2010. However, we did not show the breakdown of burden
hours for the different types of respondents. We are correcting that
error here.
Type of Request: Revision of an OMB-approved information
collection.
SSA-L106
----------------------------------------------------------------------------------------------------------------
Average burden
Type of respondents Number of Frequency of per response Total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Private Sector.......................... 1,800 1 10 300
State/Local/Tribal Government........... 1,800 1 10 300
-----------------------------------------------------------------------
Totals.............................. 3,600 ................ ................ 600
----------------------------------------------------------------------------------------------------------------
SSA-L706
----------------------------------------------------------------------------------------------------------------
Average burden
Type of respondents Number of Frequency of per response Total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Private Sector.......................... 1,800 1 10 300
State/Local/Tribal Government........... 1,800 1 10 300
-----------------------------------------------------------------------
[[Page 54213]]
Totals.............................. 3,600 ................ ................ 600
----------------------------------------------------------------------------------------------------------------
4. Cost Reimbursable Research Request--20 CFR 401.165--0960-0754.
Qualified researchers need SSA administrative data for a variety of
projects. To request SSA's program data for research, a researcher must
submit a completed research application, Form SSA-9901, How to Request
SSA Program Data for Research, for SSA's evaluation. In the
application, the requesting researcher must provide basic project
information, and describe the way in which the proposed project will
further SSA's mission to promote the economic security of the Nation's
people through its administration of the Old Age, Survivors, and
Disability Insurance Programs, and the SSI Program. SSA reviews the
application and, once we approve it, the researcher signs Form SSA-
9903, SSA Agreement Regarding Conditions for Use of SSA Data, which
outlines the conditions and safeguards for the research project data
exchange. The researcher may use the data for research and statistical
purposes only, and must complete Form SSA-9902, Confidentiality
Agreement. SSA recovers all expenses incurred in providing this
information as part of this reimbursable service. The respondents are
Federal and State government agencies or their contractors, private
entities, and colleges or universities.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 15.
Frequency of Response: 1.
Average Burden per Response: 240 minutes.
Estimated Annual Burden: 60 hours.
5. Authorization to Release Medical Report to Physician--20 CFR
401.55 & 401.100--0960-0761. When evidence provided by a disability
claimant is inadequate for SSA to determine the disability, SSA
requests a consultative examination (CE) for additional information or
clarification. If the claimants, their court appointed representatives,
or the parents of a minor child want the CE report sent to the
claimant's treating physician, they complete Form SSA-91 and send it to
SSA for processing. SSA uses the information on the SSA-91 to release
the CE report to the authorized physician. Respondents are applicants
for disability claims.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 7,922.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 660 hours.
6. Application Status--20 CFR 401.45--0960-0763. Application Status
provides users with the capability to check the status of their pending
Social Security claims either via the Internet or the National 800
Number Automated Telephone Service. Users need their SSN and a
confirmation number to access this information. The Application Status
shows users when SSA received the application, if we requested
additional documents (e.g., military discharge papers, W-2s, birth
records, etc.), and provides the address for the office that is
processing their application. Once SSA makes a decision on a claim, we
post a copy of the decision notice online for the user to view. There
are some exceptions to posting a copy online, such as disability denial
notices (even if filed electronically), or claims that users did not
file via the Internet, as we may not have those notices available for
online review. Users access this application either via http://www.ssa.gov/onlineservices/, or through the National 800 Number.
Respondents are Social Security claimants.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden
Type of request Number of Frequency of per response Total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Automated Telephone Services............ 764,885 1 2 25,496
Internet Services....................... 2,881,804 1 1 48,030
----------------------------------------------------------------------------------------------------------------
Totals.............................. 3,646,689 ................ ................ 73,526
----------------------------------------------------------------------------------------------------------------
Dated: August 31, 2010.
Liz Davidson,
Center Director, Center for Reports Clearance, Social Security
Administration.
[FR Doc. 2010-22068 Filed 9-2-10; 8:45 am]
BILLING CODE 4191-02-P