[Federal Register Volume 76, Number 19 (Friday, January 28, 2011)]
[Notices]
[Pages 5233-5235]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-1924]
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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 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
March 29, 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. Statement Regarding the Inferred Death of an Individual by
Reason of Continued and Unexplained Absence--20 CFR 404.720-721--0960-
0002. Section 202(d)-(i) of the Social Security Act (Act) provides for
the payment of various monthly survivor benefits and a lump sum death
payment to certain survivors upon the death of an individual who dies
while fully or currently insured. In cases where insured wage earners
have been absent from their homes for at least seven years, and there
is no evidence these individuals are alive, SSA may presume they are
deceased and pay their survivors the appropriate benefits. SSA uses the
information from Form SSA-723 to determine if we may presume a missing
wage earner is deceased, and if so, establish a date of presumed death.
The respondents are relatives, friends, neighbors, or acquaintances of
the presumed deceased wage earner or the person who is filing for
survivors benefits.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 3,000.
Frequency of Response: 1.
Average Burden per Response: 30 minutes.
Estimated Annual Burden: 1,500 hours.
2. Questionnaire for Children Claiming SSI Benefits--20 CFR
416.912(a)--0960-0499. Section 1631(d)(2) of the Act allows SSA to
collect information to determine the eligibility of an applicant's
claim for Supplemental Security Income (SSI) payments. Parents or legal
guardians seeking to obtain or retain SSI eligibility for their
children use Form SSA-3881-BK to provide SSA with the addresses of non-
medical sources such as schools, counselors, agencies, organizations,
or therapists who would have information about a child's functioning.
SSA uses this information to help determine a child's claim or
continuing eligibility for SSI. The respondents are applicants who
appeal SSI childhood disability decisions or recipients undergoing a
continuing disability review.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 253,000.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 126,500 hours.
3. Electronic Benefit Verification Information (BEVE)--20 CFR
401.40--0960-0595. The electronic proof of income (POI) verification
Internet service, BEVE, provides SSI recipients, Social Security
beneficiaries, and Medicare beneficiaries the convenience of requesting
a POI statement through the Internet. Beneficiaries and SSI recipients
often require POI to obtain housing, food stamps, or other public
services. After verifying the requestor's identity, SSA uses the
information from BEVE to provide the POI statement. The respondents are
Social Security beneficiaries, Medicare beneficiaries, and SSI
recipients.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 870,958.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 72,580 hours.
II. SSA 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 February 28, 2011. 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. Advanced Notice of Termination of Child's Benefits & Student's
Statement Regarding School Attendance--20 CFR 404.350-404.352, 404.367-
404.368--0960-0105. SSA collects information on Forms SSA-1372-BK and
SSA-1372-BK-FC to determine whether children of an insured worker meet
the eligibility requirements for student benefits. The data we collect
allows SSA to determine student entitlement and decide whether to
terminate benefits. The respondents are student claimants for Social
Security benefits, their respective schools, and in some cases, their
representative payees.
Type of Request: Revision of an OMB-approved information
collection.
SSA-1372-BK:
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Average burden Total annual
Type of respondent Number of Frequency of per response burden
respondents response (minutes) (hours)
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Individuals/Households.......................... 99,850 1 8 13,313
[[Page 5234]]
State/Local/Tribal Government................... 99,850 1 3 4,993
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Totals...................................... 199,700 .............. .............. 18,306
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SSA-1372-BK-FC:
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Average burden Total annual
Type of respondent Number of Frequency of per response burden
respondents response (minutes) (hours)
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Individuals/Households.......................... 150 1 8 20
State/Local/Tribal Government................... 150 1 3 8
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Totals...................................... 300 .............. .............. 28
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Total Burden: 18,334 hours.
2. Agreement to Sell Property--20 CFR 416.1240-416.1245--0960-0127.
Individuals or couples who are otherwise eligible for SSI payments, but
whose resources exceed the allowable limit, may receive conditional
payments if they agree to dispose of the excess non-liquid resources
and (in the case of current recipients) return excess SSI payments. SSA
uses Form SSA-8060-U3 to document this agreement and to ensure the
individuals understand their obligations. Respondents are applicants
for and recipients of SSI payments who agree to dispose of excess non-
liquid resources and return excess SSI payments.
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.
3. Reporting Events--SSI--20 CFR 416.701-.732--0960-0128. SSI
applicants, recipients, or their representative payees must report any
change in circumstances that could affect eligibility for SSI payments
or the payment amount. SSA uses Form SSA-8150 for this purpose. The
information assists us in determining if we should continue SSI
payments or change a payment amount. The respondents are applicants for
or recipients of SSI payments, or their representative payees.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 27,320.
Frequency of Response: 1.
Average Burden per Response: 5 minutes.
Estimated Annual Burden: 2,277 hours.
4. Modified Benefit Formula Questionnaire--0960-0395. Sections
215(a)(7) and 215(d)(3) of the Act specify how SSA computes benefits
for retired and disabled workers receiving employment pensions not
covered by Social Security. This is the Windfall Elimination Provision
(WEP), which removes an unintended advantage in computing Social
Security benefits for persons with substantial pensions from non-
covered employment. SSA collects information on Form SSA-150 to
determine the correct formula to use in computing the Social Security
benefits for pensions subject to WEP. The respondents are applicants
for title II benefits who have pensions from non-covered employment.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 90,000.
Frequency of Response: 1.
Average Burden per Response: 8 minutes.
Estimated Annual Burden: 12,000 hours.
5. Epidemiological Research Report--20 CFR 401.165--0960-0701.
Section 311 of the Social Security Independence and Program
Improvements Act of 1994 directs SSA to provide support to health
researchers involved in epidemiological research. Specifically, when we
determine a study contributes to a national health interest, SSA
furnishes information to determine whether a study subject appears in
SSA administrative records as alive or deceased (vital status). SSA
charges a small fee per request for providing this information. Web-
posted questions solicit the information SSA needs to provide the data
and to collect the fees. The requestors are scientific researchers who
are applying to receive vital status information about individuals from
Social Security administrative data records.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Total annual
Type of respondent Number of Frequency of per response burden
respondents response (minutes) (hours)
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State & Local Government........................ 15 1 120 30
Private Entities................................ 13 1 120 26
Federal Entities................................ 2 1 120 4
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Totals...................................... 30 .............. .............. 60
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[[Page 5235]]
Cost Burden
Average annual cost per respondent (based on SSA data): $3,665.
Total estimated annual cost burden: $109,950.
Dated: January 25, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2011-1924 Filed 1-27-11; 8:45 am]
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