[Federal Register Volume 74, Number 192 (Tuesday, October 6, 2009)]
[Notices]
[Pages 51353-51354]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-24054]
[[Page 51353]]
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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 and extensions 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 the
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 the SSA Director for Reports Clearance to
the addresses or fax numbers shown below.
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 202-395-6974, E-mail address: OIRA_Submion@omb.eop.gov.
(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:
OPLM.RCO@ssa.gov.
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
December 7, 2009. Individuals can obtain copies of the collection
instrument by calling the SSA Director for Reports Clearance at 410-
965-0454 or by writing to the above e-mail address.
1. Response to Notice of Revised Determination--20 CFR
404.913-.914, 404.992(b), 416.1413-.1414 and 416.1492(d)-0960-0347.
When SSA determines that (1) claimants for initial disability benefits
do not actually have a disability or (2) current disability recipients'
disability ceased, the agency must notify the disability claimants/
recipients of this decision. In response to this notice, the affected
claimants and disability recipients have the following recourse: (1)
They may request a disability hearing to contest SSA's decision, and
(2) they may submit additional information or evidence for SSA to
consider. Disability claimants, recipients, and their representatives
use Form SSA-765, the Response to Notice of Revised Determination, to
accomplish these two actions. The respondents are disability claimants,
current disability recipients, or their representatives.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 1,925.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 963 hours.
2. Statement of Household Expenses and Contributions--20 CFR
416.1130-416.1148-0960-0456. SSA uses the information from Form SSA-
8011-F3, to determine whether the claimant or recipient receives in-
kind support and maintenance. This is necessary to determine the
claimant or recipient's eligibility for Supplemental Security Income
(SSI) and the amount of benefits payable. SSA does not use this form
for all claims and post eligibility determinations. SSA uses this form
only in cases where SSA needs the householder's (head of household)
corroboration of in-kind support and maintenance. Respondents are
householders where an SSI applicant or recipient resides.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 400,000.
Frequency of Response: 1.
Average Burden Per Response: 15 minutes.
Estimated Annual Burden: 100,000 hours.
3. Request for Reinstatement (Title II)--20 CFR 404.1592b-
404.1592f-0960-0742. Through Form SSA-371, SSA obtains a signed
statement from individuals stating a request for Expedited
Reinstatement (EXR) of their Title II disability benefits, and proof
the requestor meets the EXR requirements. SSA maintains the form in the
disability folder of the applicant to demonstrate the individual's
awareness of the EXR requirements and their choice to request EXR.
Respondents are individuals requesting expedited reinstatement of his
or her Title II disability benefits.
Type of Request: Extension of an OMB-approved information
collection.
Number of Respondents: 10,000.
Frequency of Response: 1.
Average Burden Per Response: 2 minutes.
Estimated Annual Burden: 333 hours.
4. Request for Reinstatement (Title XVI)--20 CFR 416.999-416.999d-
0960-0744. Through the SSA-372, SSA obtains a signed statement from
individuals stating a request for Expedited Reinstatement (EXR) of
their Title XVI SSI payments, and proof the requestor meets the EXR
requirements. SSA maintains the form in the disability folder of the
applicant to demonstrate the individual's awareness of the EXR
requirements and their choice to request EXR. Respondents are
individuals requesting expedited reinstatement of his or her Title XVI
SSI payments.
Type of Request: Revision of an OMB approved information
collection.
Number of Respondents: 2,000.
Frequency of Response: 1.
Average Burden Per Response: 2 minutes.
Estimated Annual Burden: 67 hours.
II. SSA has submitted the information collections we list 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 November 5, 2009. 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. Continuing Disability Review Report--20 CFR 404.1589, 416.989-
0960-0072. SSA may conduct a review to determine whether individuals
receiving disability benefits are still entitled to or eligible for
those benefits. SSA uses Form SSA-454 to collect the information it
needs to complete the review for continued disability from recipients
or from their representatives. SSA conducts reviews on a periodic basis
depending on the respondent's disability. We obtain information on
sources of medical treatment, participation in vocational
rehabilitation programs (if any), attempts to work (if any), and the
opinions of individuals regarding whether their conditions have
improved. The respondents are Title II and/or Title XVI disability
recipients or their representatives.
Type of Request: Revision of an OMB approved information
collection.
[[Page 51354]]
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Average burden Total annual
Modality of completion Number of Frequency of per response burden
respondents response (minutes) (hours)
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SSA-454-BK...................................... 258,700 1 60 258,700
SSA-454-ICR..................................... 300 1 30 150
EDCS Interview.................................. 300 1 30 150
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Total....................................... 259,300 .............. .............. 259,000
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Dated: September 30, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-24054 Filed 10-5-09; 8:45 am]
BILLING CODE 4191-02-P