[Federal Register Volume 76, Number 81 (Wednesday, April 27, 2011)]
[Notices]
[Pages 23640-23641]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-10132]
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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 104-13, the
Paperwork Reduction Act of 1995, effective October 1, 1995. This notice
includes revisions 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 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 June
27, 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. Farm Arrangement Questionnaire--20 CFR 404.1082(c)--0960-0064.
When self-employed workers submit earnings data to SSA, they cannot
count rental income from a farm unless they demonstrate ``material
participation'' in the farm's operation. A material participation
arrangement means the farm owners must perform a combination of
physical duties, management decisions, and capital investment in the
farm they are renting out. In such cases, SSA uses Form SSA-7157, the
Farm Arrangement Questionnaire, to document material participation. The
respondents are workers who are renting farmland to others, are
involved in the operation of the farm, and want to claim countable
income from work they perform relating to the farm.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 38,000.
Average Burden per Response: 30 minutes.
Estimated Annual Burden: 19,000 hours.
2. Authorization to Disclose Information to SSA--20 CFR 404.1512
and 416.912, 45 CFR 160 and 164--0960-0623. SSA must obtain sufficient
evidence to make eligibility determinations for Title II and Title XVI
payments. Therefore, the applicant must authorize release of
information from various sources to SSA. The applicant uses the SSA-827
to provide consent for the release of medical records, education
records, and other
[[Page 23641]]
information related to his or her ability to perform tasks. Once the
applicant completes the SSA-827, SSA or the State Disability
Determination Service sends the form to the designated source(s) to
obtain pertinent records. The respondents are applicants for Title II
benefits and Title XVI payments.
Type of Request: Revision of an OMB-approved information
collection.
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Average Total
Number of Frequency Number of burden per annual
Modality respondents of response responses response burden
(minutes) (hours)
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SSA-827 with electronic signature (adult first 2,530,000 1 2,530,000 9 379,500
person only)..................................
SSA-827 with wet signature..................... 1,591,551 1 1,591,551 10 265,259
Reading the Internet instructions.............. 708,100 1 708,100 3 35,405
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Collectively:
Number of Respondents: 4,121,551.
Number of Responses: 4,829,651.
Total Annual Burden: 680,164 hours.
II. SSA submitted the information collection below to OMB for
clearance. Your comments regarding 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 May 27, 2011. 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.
Medicare Modernization Act Outreach Mailer, SSA-1023--20 CFR 418--
0960-0773. To promote awareness of the Medicare Part D subsidy program
and encourage potentially eligible Medicare beneficiaries to complete
Form SSA-1020 (OMB No. 0960-0696, the Application for Extra Help with
Medicare Prescription Drug Plan Costs), SSA uses an outreach brochure
that includes the mailer, Form SSA-1023. Pharmacies, doctors' offices,
and medical clinics display and distribute copies of the brochure to
encourage eligible Medicare beneficiaries to request and complete Form
SSA-1020. Using a recorded, automated telephone call requiring no
conversation with respondents, SSA follows up with beneficiaries who
use the mailer to request an SSA-1020 but do not submit the SSA-1020 to
the agency. The respondents are Medicare beneficiaries who are
potentially eligible for Part D subsidy benefits and who request a copy
of Form SSA-1020 using the SSA-1023 mailer.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 75,000.
Frequency of Response: 1.
Average Burden per Response: 1 minute.
Estimated Annual Burden: 1,250 hours.
Dated: April 22, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2011-10132 Filed 4-26-11; 8:45 am]
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