[Federal Register Volume 76, Number 58 (Friday, March 25, 2011)]
[Notices]
[Pages 16847-16849]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-7123]
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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 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 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 May
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. Supplemental Security Income (SSI)--Quality Review Case
Analysis--0960-0133. To assess the SSI program and ensure the accuracy
of its payments, SSA conducts legally mandated periodic SSI case
analysis quality reviews. SSA uses Form SSA-8508 to conduct these
reviews, collecting information on operating efficiency, the quality of
underlying policies, and the effect of incorrect payments. SSA also
uses the data to determine SSI program payment accuracy rates, which is
a performance measure for the agency's service delivery goals. The
respondents are recipients of SSI payments selected for the quality
reviews.
Type of Request: Revision of an OMB-approved information
collection.
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Estimated
Form Number of Frequency of Response time annual burden
respondents response (minutes) (hours)
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SSA-8508-BK (paper interview)................... 225 1 60 225
SSA-8508-BK (electronic)........................ 4,275 1 60 4,275
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Totals...................................... 4,500 .............. .............. 4,500
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2. Information Collections Conducted by State Disability
Determination Services (DDS) on Behalf of SSA--20 CFR, subpart P,
404.1503a, 404.1512, 404.1513, 404.1514 404.1517, 404.1519; 20 CFR
subpart Q, 404.1613, 404.1614, 404.1624; 20 CFR subpart I, 416.903a,
416.912, 416.913, 416.914, 416.917, 416.919 and 20 CFR subpart J,
416.1013, 416.1024, 416.1014--0960-0555. State DDSs collect the
information necessary to administer the Social Security Disability
Insurance (SSDI) and SSI programs. They collect medical evidence from
consultative exam (CE) sources, credential information from CE source
applicants, and Medical Evidence of Record (MER) from claimants'
medical sources. The DDSs collect information from claimants regarding
medical treatment and pain/symptoms. The respondents are medical
providers, other sources of MER, and disability claimants.
Type of Request: Revision of an OMB-approved information
collection.
CE Collections
There are two collections from CE providers: (a) Medical evidence
about claimants' medical condition(s) that DDSs use to make disability
determinations when the claimant's own medical sources cannot or will
not provide the required information; and (b) proof of credentials from
CE providers.
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Average
Number of Frequency of burden per Estimated
Collection instrument respondents response response annual burden
(minutes) (hours)
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(a) Medical Evidence from CE Providers:
Paper Submissions........................... 100,000 1 30 50,000
Electronic Records Express (ERE) Submissions 3,500,000 1 10 583,333
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Totals.................................. 4,600,000 .............. .............. 633,333
(b) CE Credentials:
Paper Submission............................ 3,000 1 15 750
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[[Page 16848]]
There are two CE claimant collections: (a) Claimant completion of a
response form indicating whether they intend to keep their CE
appointment:, and (b) claimant completion of a form indicating whether
they want a copy of the CE report sent to their doctor.
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Average burden Estimated
Type of CE claimant collection Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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Appointment Letter.............................. 2,500,000 1 5 208,333
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Claimants re: Report to Medical Provider........ 1,500,000 1 5 125,000
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Totals...................................... 4,000,000 .............. .............. 333,333
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MER Collections
The DDSs collect MER from the claimant's medical sources to
determine the claimant's physical or mental status prior to making a
disability determination.
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Average burden Estimated
Collection instrument Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper Submissions............................... 500,000 1 15 125,000
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Electronic and ERE Submissions.................. 5,500,000 1 7 641,666
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Total....................................... 6,000,000 .............. .............. 766,666
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Pain/Other Symptoms Information from Claimants
The DDSs use information about pain/symptoms to determine how pain/
symptoms affect the claimant's ability to do work-related activities
prior to making a disability determination.
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Average burden Estimated
Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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Paper Submission............................ 2,500,000 1 15 625,000
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The total combined burden is 2,359,082 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 April 25, 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. Request for Waiver of Overpayment Recovery or Change in
Repayment Notice--20 CFR 404.502-404.513, 404.515 and 20 CFR 416.550-
416.570, 416.572--0960-0037. When Social Security beneficiaries and SSI
recipients receive an overpayment, they must return the amount of the
overpayment. These beneficiaries and recipients can use Form SSA-632-BK
to take one of three actions: (1) Request an exemption from repaying,
as recovery of the overpayment would cause financial hardship; (2)
inform SSA they want to repay the overpayment at a monthly rate over a
period longer than 36 months; or (3) request a different rate of
recovery. In the latter two cases, the respondents must also provide
financial information to help the agency determine how much the
overpaid person can afford to repay each month. Respondents are
overpaid Social Security beneficiaries or SSI recipients who are
requesting a waiver of recovery of an overpayment or a lesser rate of
withholding.
Type of Request: Revision of an OMB-approved information
collection.
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Number of Frequency of Response time Total burden
Type of request respondents response (minutes) (hours)
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Waiver of Overpayment (Completes Whole Paper 400,000 1 120 800,000
Form)..........................................
Change in Repayment (Completes Partial Paper 100,000 1 45 75,000
Form)..........................................
Regional Application (NY Debt Management-NYDM).. 44,000 1 120 88,000
Internet Instructions........................... 500,000 1 5 41,667
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Totals...................................... 1,044,000 .............. .............. 1,004,667
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[[Page 16849]]
2. Sheltered Workshop Wage Reporting--0960-0771. Sheltered
workshops are nonprofit organizations or institutions that implement a
recognized program of rehabilitation for workers who have handicaps, or
provide such workers with remunerative employment or other occupational
rehabilitating activity of an educational or therapeutic nature.
Sheltered workshops perform a service for their clients by reporting
monthly wages directly to SSA. SSA uses the information these workshops
provide to verify and post monthly wages to the SSI recipient's record.
Most workshops report monthly wage totals to their local SSA office so
we can adjust the client's SSI payment amount in a timely manner and
prevent overpayments. Sheltered workshops are motivated to report wages
voluntarily as a service to their clients. Respondents are sheltered
workshops that report monthly wages for services performed in the
workshop.
Type of Request: Revision of an OMB-approved information
collection.
Number of Respondents: 900.
Frequency of Response: 12.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 3,000 hours.
3. Request for Medical Treatment in an SSA Employee Health
Facility: Patient Self-Administered or Staff-Administered Care--0960-
0772. SSA's Employee Health Clinic (EHC) provides emergency care,
treatment of on-the-job illnesses and injuries, and health care for
employees with chronic medical conditions and allergies who require
allergy antigens. SSA also permits employees to use the EHC for self-
administration of medical treatments for a chronic health condition.
SSA collects information on Form SSA-5072 to approve or deny requests
for medical treatment in an SSA EHC. The respondents are the private
physicians of the SSA employees seeking medical treatment in an SSA
EHC.
Type of Request: Information Collection in Use without an OMB
Number.
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Average burden
Medication dosage changes Number of Frequency of per response Total annual
respondents response (minutes) burden (hours)
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Annually........................................ 25 1 5 2
Bi-Annually..................................... 75 2 5 13
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Totals...................................... 100 .............. .............. 15
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Dated: March 22, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social
Security Administration.
[FR Doc. 2011-7123 Filed 3-24-11; 8:45 am]
BILLING CODE 4191-02-P