[Federal Register Volume 75, Number 226 (Wednesday, November 24, 2010)]
[Notices]
[Pages 71785-71786]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-29576]
=======================================================================
-----------------------------------------------------------------------
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 to 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, email, or fax your
comments and recommendations on the information collection(s) to the
OMB Desk Officer and SSA Reports Clearance Officer at 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
January 24, 2011. 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-mail address.
1. Continuing Disability Review Report--20 CFR 404.1589, 416.989-
0960-0072. SSA conducts periodic reviews to determine whether
individuals receiving disability benefits continue their entitlement to
or eligibility for those benefits. SSA collects the necessary
information on Form SSA-454 to complete the review for continued
disability for current Supplemental Security Income recipients. SSA
conducts reviews on a periodic basis depending on the respondent's
disability. We obtain information on sources of medical treatment,
participation in vocational rehabilitation programs (if any), attempts
to work (if any), and the opinions of individuals regarding whether
their conditions have improved. The respondents are Title II and/or
Title XVI disability recipients or their representatives.
[[Page 71786]]
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-454-BK (Paper version)...................... 1,500 1 60 1,500
EDCS *.......................................... 1,500 1 59 1,475
SSA-454-ICR..................................... 541,000 1 30 270,500
Abbreviated EDCS interview to supplement SSA-454- 541,000 .............. 25 225,417
ICR............................................
---------------------------------------------------------------
Totals...................................... 1,085,000 .............. .............. 498,892
----------------------------------------------------------------------------------------------------------------
* Claims representatives may choose to complete the EDCS 454 rather than the SSA-454-BK.
2. State Death Match Collections--20 CFR 404.301, 404.310-404.311,
404.316, 404.330-404-341, 404.350-404.352, 404.371; 416.912--0960-0700.
SSA uses the State Death Match Collections to ensure the accuracy of
payment files by detecting unreported or inaccurate deaths of
beneficiaries. Under the Social Security Act, entitlement to
retirement, disability, wife's, husband's, or parent's benefits
terminates when the beneficiary dies. The States furnish death
certificate information to SSA via the Manual Registration Process or
the Electronic Death Registration Process (EDR). Both Death Match
processes are automated electronic transfers between the States and
SSA. The respondents are the States' bureaus of vital statistics.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Frequency of Average cost Estimated
Collection format Number of responses per record annual cost
respondents (per state) request burden
----------------------------------------------------------------------------------------------------------------
State Death Match--Manual Process............... 23 50,000 .80 $920,000
State Death Match--EDR.......................... 30 50,000 2.86 4,290,000
---------------------------------------------------------------
Totals...................................... 53 .............. .............. * 5,210,000
----------------------------------------------------------------------------------------------------------------
* Please note both data matching processes are electronic and there is no hourly burden for the respondent to
provide this information.
II. SSA has submitted the information collection listed below to
OMB for clearance. Your comments on the information collection 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 December 27, 2010. You can obtain a copy of the OMB
clearance package by calling the SSA Reports Clearance Officer at 410-
965-8783 or by writing to the above e-mail address.
1. Work History Report--20 CFR 404.1515, 404.1560, 404.1565,
416.960 and 4163965--0960-0578. Under certain circumstances, SSA asks
individuals about work they performed in the past. Applicants use Form
SSA-3369 to provide detailed information about jobs held prior to
becoming unable to work. State Disability Determination Services
evaluate the information, together with medical evidence, to determine
eligibility for disability.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection method Number of Frequency of per response annual burden
respondents response (hours) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3369 (Paper form)........................... 1,090,346 1 1 1,090,346
EDCS 3369....................................... 607,122 1 1 607,122
---------------------------------------------------------------
Totals...................................... 1,697,468 .............. .............. 1,697,468
----------------------------------------------------------------------------------------------------------------
2. Appeal of Determination for Help with Medicare Prescription Drug
Plan Costs--0960-0695. Public Law 108-173, the Medicare Prescription
Drug, Improvement, and Modernization Act of 2003 (MMA), established the
Medicare Part D program for voluntary prescription drug coverage for
certain low-income individuals. The MMA stipulates subsidies must be
available for individuals who are eligible for the program and who meet
eligibility criteria for help with premium, deductible, or co-payment
costs. Form SSA-1021, Appeal of Determination for Help with Medicare
Prescription Drug Plan Costs, obtains information from individuals who
appeal SSA's decisions regarding eligibility or continuing eligibility
for a Medicare Part D subsidy. The respondents are applicants who are
appealing SSA's eligibility or continuing eligibility decisions.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 75,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 12,500 hours.
Dated: November 18, 2010.
Liz Davidson,
Center Director, Center for Reports Clearance, Social Security
Administration.
[FR Doc. 2010-29576 Filed 11-23-10; 8:45 am]
BILLING CODE 4191-02-P