[Federal Register Volume 77, Number 62 (Friday, March 30, 2012)]
[Notices]
[Pages 19406-19408]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-7712]
=======================================================================
-----------------------------------------------------------------------
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 one extension 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, email, 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, Email address: OIRA_Submission@omb.eop.gov.
(SSA)
Social Security Administration, DCRDP, Attn: Reports Clearance Officer,
107 Altmeyer Building, 6401 Security Blvd., Baltimore, MD 21235, Fax:
410-966-2830, Email address: OPLM.RCO@ssa.gov.
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
29, 2012. 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 email address.
1. Waiver of Right to Appear--Disability Hearing--20 CFR 404.913-
404.914, 404.916(b)(5), 416.1413-416.1414, 416.1416(b)(5)--0960-0534.
Claimants for Social Security disability payments or their
representatives can use form SSA-773 to officially waive their right to
appear at a disability hearing. The disability hearing officer uses the
signed form as a basis for not holding a hearing, and for preparing a
written decision on the claimant's request for disability payments
based solely on the evidence of record. The respondents are claimants
for disability payments under title II and title XVI of the Social
Security Act (Act), or their representatives, who wish to waive their
right to appear at a disability hearing.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Averge burden Estimated total
Collection instrument Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-773-U4.................................. 200 1 3 10
----------------------------------------------------------------------------------------------------------------
2. Request to Pay Civil Monetary Penalty by Installment Agreement--
20 CFR 498--0960-0776. When SSA imposes a civil monetary penalty (CMP)
for various fraudulent conduct related to SSA-administrated programs on
individuals, those individuals may ask to pay the CMP through an
installment agreement. For SSA to negotiate a monthly payment amount
fair to both the individual and the agency, SSA needs financial
information from the individual. The agency uses Form SSA-640 to obtain
the information necessary to determine a repayment rate for individuals
owing a CMP. The respondents are recipients of Social Security benefits
and non-entitled individuals who must repay a CMP to the agency and
want to do so using an installment plan.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 19407]]
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Collection instrument Number of Frequency of per response annual burden
responses response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-640..................................... 400 1 120 800
----------------------------------------------------------------------------------------------------------------
II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding 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 30, 2012. Individuals can obtain copies of the
OMB clearance packages by calling the SSA Reports Clearance Officer at
410-965-8783 or by writing to the above email address.
1. Application for Parent's Insurance Benefits--20 CFR 404.370-
404.374, 20 CFR 404.601-404.603--0960-0012. Section 202(h) of the Act
establishes the conditions of eligibility a claimant must meet to
receive monthly benefits as a parent of a deceased worker. SSA uses
information from Form SSA-7-F6 to determine if the claimant meets the
eligibility and application criteria. The respondents are applicants
for, and recipients of, Social Security Old Age, Survivors, and
Disability Insurance benefits.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection method Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Modernized Claims Systems (MCS)................. 153 1 15 38
MCS/Signature Proxy............................. 158 1 14 37
Paper SSA-7-F6.................................. 4 1 15 1
---------------------------------------------------------------
Total....................................... 315 .............. .............. 76
----------------------------------------------------------------------------------------------------------------
2. Application for Supplemental Security Income--20 CFR 416.305-
416.335, Subpart C--0960-0444. SSA collects information on Form SSA-
8001-BK to determine an applicant's eligibility for Supplemental
Security Income (SSI) and the SSI payment amounts. SSA employees also
collect this information during interviews with members of the public
who wish to file for SSI. SSA uses the information for two purposes:
(1) to deny SSI for non-medical reasons when information the applicant
provides results in ineligibility; or (2) to establish a disability
claim, but defer the complete development of non-medical issues until
SSA confirms the disability. The respondents are applicants for SSI.
Type of Request: Revision of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated
Collection method Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Modernized SSI Claims System (MSSICS)........... 1,006,400 1 15 251,600
MSSICS/Signature Proxy.......................... 326,400 1 14 76,160
Paper........................................... 27,200 1 18 8,160
---------------------------------------------------------------
Totals...................................... 1,360,000 .............. .............. 335,920
----------------------------------------------------------------------------------------------------------------
3. Permanent Residence in the United States Under Color of Law
(PRUCOL)--20 CFR 416.1615 and 416.1618--0960-0451. As per 20 CFR
416.1415 and 416.1618 of the Code of Federal Regulations, PRUCOL aliens
must present evidence of their alien status when they apply for SSI
payments, and periodically thereafter as part of the eligibility
determination process for SSI. SSA verifies the validity of the PRUCOL
evidence for grandfathered nonqualified aliens with the Department of
Homeland Security (DHS), and determines if the individual qualifies for
PRUCOL status based on the DHS response. Without this information, SSA
is unable to determine whether the individual is eligible for SSI
payments. Respondents are qualified and unqualified aliens who apply
for SSI payments under PRUCOL.
Type of Request: Extension of an OMB-approved information
collection.
----------------------------------------------------------------------------------------------------------------
Average burden Estimated total
Collection method Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Personal or Telephone Interview............. 1,300 1 5 108
----------------------------------------------------------------------------------------------------------------
[[Page 19408]]
Dated: March 27, 2012.
Faye Lipsky,
Reports Clearance Officer, Office of Regulations and Reports Clearance,
Social Security Administration.
[FR Doc. 2012-7712 Filed 3-29-12; 8:45 am]
BILLING CODE 4191-02-P