[Federal Register Volume 76, Number 16 (Tuesday, January 25, 2011)]
[Notices]
[Pages 4407-4408]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-1445]
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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 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, 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 collection below is pending at SSA. SSA will
submit it 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
March 28, 2011. Individuals can obtain a copy of the collection
instrument by calling the SSA Reports Clearance Officer at 410-965-8783
or by writing to the above e-mail address.
Request for Evidence from Doctor or Hospital--20 CFR 404 Subpart I
and 20 CFR 416 Subpart P--0960-0722. Sections 223(d)(5) and
1614(a)(3)(H)(i) of the Social Security Act require claimants to
furnish medical evidence of their disability when filing a disability
claim. SSA uses Forms HA-66 and HA-67 to obtain medical evidence from
sources (physicians, hospitals, etc.) who treated or evaluated the
claimant. SSA uses the information to determine eligibility for
benefits. The respondents are medical sources, doctors, and hospitals
that evaluate the claimants.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Collection instrument Number of Frequency of Number of per response annual burden
respondents response responses (minutes) (hours)
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HA-66........................... 3,060 22 67,320 15 16,830
Paper Version...................
HA-66 Electronic Version........ 8,940 22 196,680 15 49,170
HA-67 Paper Version............. 3,060 22 67,320 15 16,830
HA-66 Electronic Version........ 8,940 22 196,680 15 49,170
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Totals...................... 24,000 .............. 528,000 .............. 132,000
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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 February 24, 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.
Continuing Disability Review Report--20 CFR 404.1589, 416.989--
0960-0072. SSA conducts periodic reviews to determine whether claimants
continue to be disabled according to the Social Security Act and
eligible for Title II or Title XVI payments. We obtain information,
using SSA-454, on sources of medical treatment, participation in
vocational rehabilitation programs, and attempts to work. We also ask
individuals' opinions on whether their conditions have improved. SSA
uses the information to make a continuing disability determination. The
respondents are Title II and Title XVI disability recipients or their
representatives.
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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SSA-454-BK (Paper version)...................... 1,500 1 60 1,500
Electronic Disability Collect System (EDCS) 454. 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............................................
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Totals...................................... 1,085,000 .............. .............. 498,892
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[[Page 4408]]
Dated: January 19, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2011-1445 Filed 1-24-11; 8:45 am]
BILLING CODE 4191-02-P