[Federal Register Volume 77, Number 154 (Thursday, August 9, 2012)]
[Notices]
[Pages 47688-47690]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-19493]
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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 of OMB-approved information collections, and one new
information collection.
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: [email protected].
(SSA) Social Security Administration, DCRDP, Attn: Reports Clearance
Director, 107 Altmeyer Building, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email 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
October 9, 2012. Individuals can obtain copies of the collection
instrument by writing to the above email address.
Statement of Care and Responsibility for Beneficiary--20 CFR
404.2020, 404.2025, 408.620, 408.625, 416.620, 416.625--0960-0109. SSA
uses the information from Form SSA-788 to verify payee applicants'
statements of concern and to identify other potential payees. SSA is
concerned with selecting the most qualified representative payee who
will use Social Security benefits in the beneficiary's best interest.
SSA considers factors such as the payee applicant's capacity to perform
payee duties, awareness of the beneficiary's situation and needs,
demonstration of past and current concern for the beneficiary's well-
being, etc. If the payee applicant does not have custody of the
beneficiary, SSA will obtain information from the custodian for
evaluation against information provided by the applicant. Respondents
are individuals who have custody of the beneficiary in cases where
someone else has filed to be the beneficiary's representative payee.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Collection instrument Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
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SSA-788..................................... 130,000 1 10 212,667
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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 30 days from the date of this
publication. To be sure we consider your comments, we must receive them
no later than September 10, 2012. Individuals can obtain copies of the
OMB clearance packages by writing to [email protected].
1. Automated Scheduling Application (ASA)--20 CFR 404.929, 404.936,
404.950, 416.1429, 416.1436, and 416.1450-416.1451--0960-NEW. SSA is
creating an online-based scheduling tool, the Automated Scheduling
Application (ASA), to document the availability and special needs of
participants for hearings before administrative law judges (ALJ). The
respondents are disability applicants or recipients, ALJ staff, SSA
Hearing Office employees, appointed representatives, medical experts,
vocational experts, and verbatim hearing recorders who need to schedule
or request special needs related to an ALJ hearing. All respondents
will use the ASA system (via SSA's Intranet for SSA employees, and a
public-facing Internet site for members of the public) to document
their hearings availability and needs, and to view scheduled hearings
in an electronic calendar. SSA staff will
[[Page 47689]]
provide technical support to external users via our 800 number.
Type of Request: This is a new information collection request.
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Estimated
Number of Frequency of Number of Average burden total annual
Respondent type respondents response responses per response burden
(minutes) (hours)
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Medical Experts, Vocational 3,300 52 (171,600) 8 22,880
Experts, Hearing Reporters--
Availability Reporting Using
External ASA...................
Appointed Representatives-- 16,600 52 (863,200) 8 115,093
Availability Reporting Using
External ASA...................
Medical Experts, Vocational 3,300 6 (19,800) 8 2,640
Experts, Hearing Reporters--
Requests to HO To Change
Availability Using Internal ASA
Appointed Representatives-- 16,600 6 (99,600) 8 13,280
Requests to HO To Change
Availability Using Internal ASA
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Totals...................... 39,800 .............. (1,154,200) .............. 153,893
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2. Statement of Claimant or Other Person--20 CFR 404.702 & 416.570
--0960-0045. In cases where claimants or others want to share
information relating to Supplemental Security Income (SSI) or Social
Security benefits, and SSA has no standard form to document this
information, the agency uses Form SSA-795. The agency documents
whatever information the claimant or other member of the public
provides, and considers it when processing benefits claims or when
making decisions on ongoing issues relating to the above programs. The
respondents are applicants or recipients of SSI or Social Security
benefits, or others who are in a position to provide relevant
information on an existing claim or case.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated total
Collection instrument Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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SSA-795..................................... 305,500 1 15 76,375
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3. Disability Report--Adult--20 CFR 404.1512 and 416.912--0960-
0579. State Disability Determination Services (DDS) use the SSA-3368
and its electronic versions to determine if adult disability
applicants' impairments are severe and, if so, how the impairments
affect the applicants' ability to work. This determination dictates
whether the DDSs and SSA will find the applicant to be disabled and
entitled to SSI payments. The respondents are applicants for title II
disability benefits or title XVI SSI payments.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Number of Frequency of burden per Estimated
Collection method respondents response responses annual burden
(minutes) (hours)
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SSA-3368 (Paper Form)........................... 29,072 1 60 29,072
Electronic Disability Collect System (EDCS)..... 2,853,426 1 60 2,853,426
i3368 (Internet)................................ 421,226 1 90 631,839
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Totals...................................... 3,303,724 .............. .............. 3,514,337
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4. Social Security Number Verification Services--20 CFR 401.45--
0960-0660. Internal Revenue Service regulations require employers to
provide wage and tax data to SSA using Form W-2 or its electronic
equivalent. As part of this process, the employer must furnish the
employee's name and Social Security number (SSN). In addition, the
employee's name and SSN must match SSA's records for SSA to post
earnings to the employee's earnings record, which SSA maintains. SSA
offers the Social Security Number Verification Service (SSNVS), which
allows employers to verify that the reported names and SSNs of their
employees match those in SSA's records. SSNVS is a cost-free method for
employers to verify employee information either through the Internet or
via telephone. The respondents are employers who need to verify SSN
data using SSA's records. This is a correction notice: SSA published
incorrect burden information for this collection at 77 FR 29441, on 5/
17/12. We are correcting this error here.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 47690]]
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Average Estimated
Number of Frequency of Number of burden per total annual
Verification system respondents response responses response burden
(minutes) (hours)
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SSNVS........................... 52,157 57 (2,972,949) 5 247,746
SSNVS Telephone................. 6,000 2 (12,000) 10 2,000
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Totals...................... 58,157 .............. (2,984,949) .............. 249,746
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5. Statement of Reclamation Action--31 CFR 210--0960-0734.
Regulations governing the Federal Government Participation in the
Automated Clearing House (1) allow SSA to send Social Security payments
to Canada and (2) mandate the reclamation of funds paid erroneously to
a Canadian bank or financial institution after the death of a Social
Security beneficiary. SSA uses Form SSA-1713, Notice of Reclamation
Action, to determine if, how, and when the Canadian bank or financial
institution will return erroneous payments after the death of a Social
Security beneficiary who elected to have payments sent to Canada. Form
SSA-1712 (or SSA-1712 CN), Notice of Reclamation--Canada Payment Made
in the United States, is the cover sheet SSA prepares to request return
of the payment. The respondents are Canadian banks and financial
institutions who erroneously received Social Security payments.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated total
Collection instrument Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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SSA-1713.................................... 15 1 5 1
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6. Electronic Records Express (Third Parties)--20 CFR 404.1700-
404.1715--0960-0767. Electronic Records Express (ERE) is an online
system that enables medical providers and various third-party
representatives to download and submit disability claimant information
electronically to SSA as part of the disability application process. To
ensure only authorized people access ERE, SSA requires third parties to
complete a unique registration process if they wish to use this system.
This Information Collection Request (ICR) includes the third-party
registration process; the burden for submitting evidence to SSA is part
of other, various ICRs. The respondents are third-party representatives
of disability applicants or recipients who want to use ERE to
electronically access clients' disability files online and submit
information to SSA.
Type of Request: Revision to an OMB-approved information
collection.
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Average burden Estimated total
Collection instrument Number of Frequency of Number of per response annual burden
respondents response responses (minutes) (hours)
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ERE................................................................ 9,000 283 (2,547,000) 1 42,450
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Dated: August 6, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-19493 Filed 8-8-12; 8:45 am]
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