[Federal Register Volume 75, Number 60 (Tuesday, March 30, 2010)]
[Notices]
[Pages 15761-15764]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-7016]
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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 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].
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 June
1, 2010. 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 above e-mail address.
1. Application for Child's Insurance Benefits--20 CFR 404.350-404.368,
404.603, & 416.350--0960-0010
SSA uses Form SSA-4-BK to determine if children of living and
deceased workers are entitled to their parents' monthly Social Security
payments. The respondents are guardians completing the form on behalf
of the children of living or deceased workers, or the children of
living or deceased workers.
Type of Request: Revision of an OMB-approved information
collection.
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Number of Response time Burden
Form of request respondents (minutes) (hours)
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Life Claims (paper)............................................. 8,052 12 1,610
[[Page 15762]]
Life Claims (MCS)............................................... 152,983 12 30,597
Life Claims-Signature Proxy..................................... 152,983 11 28,047
Death Claims (paper)............................................ 19,061 12 3,812
Death Claims (MCS).............................................. 362,150 12 72,430
Death Claims-Signature Proxy.................................... 362,150 11 66,394
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Totals...................................................... 1,057,379 .............. 202,890
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2. Report to United States Social Security Administration by Person
Receiving Benefits for a Child or for an Adult Unable To Handle Funds/
Report to the United States Social Security Administration--0960-0049
SSA uses the information it collects on Forms SSA-7161-OCR-SM and
SSA-7162-OCR-SM to: (1) Determine continuing entitlement to Social
Security benefits; (2) correct benefit amounts for beneficiaries
outside the United States; and (3) monitor the performance of
representative payees outside the United States. The respondents are
individuals living outside the United States who are receiving benefits
on their own (or for someone else) under Title II of the Social
Security Act.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Form No. Number of Frequency of burden per Estimated
respondents response response annual burden
----------------------------------------------------------------------------------------------------------------
SSA-7161-OCR-SM................................. 30,560 1 15 7,640
SSA-7162-OCR-SM................................. 271,142 1 5 22,595
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Totals...................................... 301,702 .............. .............. 30,235
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3. Real Property Current Market Value Estimate--0960-0471
SSA considers a person's resources when evaluating eligibility for
Supplemental Security Income (SSI) payments. The value of an
individual's resources, including non-home real property, is one of the
eligibility requirements for SSI payments. SSA obtains current market
value estimates of real property owned by applicants for, or recipients
of, SSI through Form SSA-L2794. The respondents are small business
operators in real estate, state and local employees, and other
individuals knowledgeable about local real estate values.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 5,438.
Frequency of Response: 1.
Average Burden per Response: 20 minutes.
Estimated Annual Burden: 1,813 hours.
4. Employer Verification of Earnings After Death--20 CFR 404.821 and
404.822--0960-0472
When SSA records show a wage earner is deceased and an employer
reported wages for the wage earner for a year subsequent to death, SSA
must contact the employer and verify the reported wage and employee
information. The information SSA obtains on Form SSA-L4112 verifies the
wage information previously received from the employer is correct for
the employee and the year in question. The respondents are employers
who report wages for employees who have died.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 8,333 hours.
5. Wage Reports and Pension Information--20 CFR 422.122(b)--0960-0547
Pension plan administrators annually file plan information with the
Internal Revenue Service, who then forwards the information to SSA. SSA
maintains and organizes this information by plan numbers, plan
participant's name, and Social Security number. Under Section 1131(a)
of the Social Security Act, pension plan participants are entitled to
request this information from SSA. The Wage Reports and Pension
Information regulation, 20 CFR 422.122(b) of the Code of Federal
Regulations, stipulates that before SSA disseminates this information,
the requester must first submit a written request with identifying
information to SSA. The respondents are requestors of pension plan
information.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 600.
Frequency of Response: 1.
Average Burden per Response: 30 minutes.
Estimated Annual Burden: 300 hours.
6. Request for Reconsideration--20 CFR 404.907-404.921, 416.1407-
416.1421, 408.1009--0960-0622
SSA uses Form SSA-561-U2 to initiate and document the
reconsideration process for determining an individual's eligibility or
entitlement to Social Security benefits (Title II), SSI payments (Title
XVI), Special Veterans Benefits (Title VIII), Medicare (Title XVIII),
and for initial determinations regarding Medicare Part B income-related
premium subsidy reductions. The respondents are individuals filing for
reconsideration.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 15763]]
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Average
Number of Frequency of burden per Estimated
Collection method respondents response response annual burden
(minutes) (hours)
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Paper form & Modernized Claims System........... 730,850 1 8 97,447
Internet i561................................... 730,850 1 20 243,617
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Totals...................................... 1,461,700 .............. .............. 341,064
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7. Identifying Information for Possible Direct Payment of Authorized
Fees--0960-0730
SSA collects information from claimants' appointed representatives
on Form SSA-1695 to process and facilitate direct payment of authorized
fees to a financial institution. SSA also needs this information to
issue a Form 1099-MISC, if applicable. Finally, SSA uses Form SSA-1695
to establish a link between each claim for benefits and the data that
we collect on the SSA-1699 for our appointed representative database.
The respondents are attorneys and other individuals who represent
claimants for benefits before SSA.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 10,000.
Frequency of Response: 40.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 66,667 hours.
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 April 29, 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. Waiver of Supplemental Security Income Payment Continuation--20 CFR
416.1400-416.1422--0960-NEW
SSA uses Form SSA 263-U2 to determine whether an individual meets
the provisions of the Social Security Act regarding waiver of payment
continuation. Recipients must use Form SSA 263-U2 when they are
awaiting a determination on their appeal and have decided to stop their
payment continuation. SSA needs the information on the form as proof
respondents no longer want their payments to continue. Respondents are
recipients of SSI payments who wish to discontinue receipt of payment
while awaiting a determination on their appeal.
Type of Request: Existing information collection in use without an
OMB number.
Number of Respondents: 3,000.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 250 hours.
2. Centenarian Project Development Worksheets: Face-to-Face Interview;
Telephone Interview; Third Party Contact; Unable To Locate--20 CFR
416.204(b) and 422.135--0960-NEW
SSA conducts interviews with centenary beneficiaries age 103 and
older to assess: (1) If the beneficiaries are still living; (2) to
prevent fraud, through either identity misrepresentation or
representative payee misuse of funds; and (3) to assess the well-being
of the beneficiaries. SSA's San Francisco field offices currently use
this survey, and we intend to expand its use to all other SSA field
offices. Field office personnel obtain the information through one-
time, in-person interviews with centenarians. During the interview, SSA
employees will make overall observations of the centenarian and their
representative payee (if applicable). The interviewer will use the
appropriate Centenarian Development Worksheet as a guide for the
interview and to document findings. SSA will conduct the interview one
time only at the beneficiary's residence or over the phone if a site
visit is not possible. Refusal of the interview will not result in the
suspension of the centenarian's payments. Respondents are SSI
recipients or Social Security beneficiaries 103 years old or older,
their representative payees, or caregivers.
Type of Request: Existing information collection in use without an
OMB number.
Number of Respondents: 14,000.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 3,500 hours.
3. Notice Regarding Substitution of Party Upon Death of Claimant--
Reconsideration of Disability Cessation--20 CFR 404.917-404.921 and
416.1407-416.1421--0960-0351
When a claimant dies before we make a determination on that
person's request for reconsideration of their disability cessation, SSA
seeks a qualified substitute party to pursue the appeal. If SSA locates
a qualified substitute party, the agency collects information on Form
SSA-770 about whether to pursue or withdraw the reconsideration
request. The information Form SSA-770 collects is the basis of the
decision to continue or discontinue the appeals process. Respondents
are substitute applicants who are pursuing a reconsideration request
for a deceased claimant.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 1,200.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 100 hours.
4. Application for Benefits Under the Italy-U.S. International Social
Security Agreement--20 CFR 404.1925--0960-0445
SSA collects information using Form SSA-2582 based on the United
States-Italy agreement effective November 1, 1978. Article 19.2 of the
agreement provides that an applicant for benefits can file an
application with either country. Article 4.3 of the Protocol to the
Agreement dictates the country receiving the application will forward
agreed-upon forms and applications to the other country. As agreed upon
by the United States and Italian Social Security agencies, individuals
filing an application for U.S. benefits directly with one of the
Italian Social Security agencies must complete Form SSA-2528. SSA uses
the SSA-2528 to establish age, relationship, citizenship, marriage,
death, military service, or to evaluate a family bible or other family
record when determining eligibility for benefits. The Italian Social
Security agencies assist applicants in completing Form SSA-2528 and
then forward the application to SSA for processing. The respondents are
individuals living in
[[Page 15764]]
Italy who wish to file for U.S. Social Security benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 250.
Frequency of Response: 1.
Average Burden per Response: 20 minutes.
Estimated Annual Burden: 83 hours.
5. Earnings Record Information--20 CFR 404.801-404.803 and 404.821-
404.822--0960-0505
SSA discovered that as many as 70 percent of the wage reports it
receives for children under age 7 are actually the earnings of someone
other than the child. To ensure we credit the correct person with the
reported earnings, SSA verifies wage reports for children under age 7
with the children's employers before posting to the earnings record.
SSA uses Form SSA-L3231-C1 for this purpose. The respondents are
employers who report earnings for children under age 7.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 20,000.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 3,333 hours.
6. Work Incentives Planning and Assistance Program--0960-0629
The Work Incentives Planning and Assistance (WIPA) program collects
identifying information from project sites and Community Work
Incentives Coordinators (CWIC). In addition, the program collects data
from beneficiaries on background employment, training, benefits, and
work incentives. SSA is interested in identifying beneficiary outcomes
under the WIPA program to determine the extent to which beneficiaries
with disabilities achieve their employment, financial, and health care
goals. SSA will also use the data in its analysis and future planning
for Social Security Disability Insurance and SSI programs.
Type of Request: Extension of an OMB-approved information
collection.
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Average burden Estimated
Respondents Number of Frequency of per response annual burden
responses response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Project Site.................................... 147 1 2 5
CWIC............................................ 422 1 2 14
Beneficiary..................................... 60,000 1 5 5,000
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Totals...................................... 60,569 .............. .............. 5,019
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7. Beneficiary Interview and Auditor's Observations Form--0960-0630
SSA's Office of the Inspector General collects information through
Form SSA-322, the Beneficiary Interview and Auditor's Observation form,
to interview beneficiaries and/or their payees to determine if they are
complying with their duties and responsibilities. SSA randomly selects
SSI recipients and Social Security beneficiaries who have
representative payees as respondents for this collection.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 200.
Frequency of Response: 1.
Average Burden per Response: 15 minutes.
Estimated Annual Burden: 50 hours.
8. Certification of Contents of Document(s) or Record(s)--20 CFR
404.715f--0960-0689
SSA must secure evidence necessary for individuals to establish
rights to benefits. Some of the required evidence categories include
evidence of age, relationship, citizenship, marriage, death, and
military service. Form SSA-704 allows SSA employees, state record
custodians, and other custodians of evidentiary documents to record
information from documents and records to establish these types of
evidence. State record custodians and other custodians of evidentiary
documents are the respondents.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 4,800.
Frequency of Response: 1.
Average Burden per Response: 10 minutes.
Estimated Annual Burden: 800 hours.
Dated: March 25, 2010.
Elizabeth Davidson,
Center Director, Center for Reports Clearance, Social Security
Administration.
[FR Doc. 2010-7016 Filed 3-29-10; 8:45 am]
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