[Federal Register Volume 77, Number 199 (Monday, October 15, 2012)]
[Notices]
[Pages 62592-62593]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-25276]
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SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed 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, 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].
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
December 14, 2012. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Physician's/Medical Officer's Statement of Patient's Capability
to Manage Benefits--20 CFR 404.2015 and 416.615--0960-0024. SSA
appoints a representative payee in cases where we determine
beneficiaries are not capable of managing their own benefits. In those
instances, we require medical evidence to determine the beneficiaries'
capability of managing or directing their benefit payments. SSA
collects medical evidence on Form SSA-787 to (1) determine
beneficiaries' capability or inability to handle their own benefits,
and (2) assist in determining the beneficiaries' need for a
representative payee. The respondents are the
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beneficiary's physicians, or medical officers of the institution in
which the beneficiary resides.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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SSA-7156.................................... 120,000 1 10 20,000
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2. Farm Self-Employment Questionnaire--20 CFR 404.1082(c) &
404.1095--0960-0061. SSA requires proof of the existence of a trade or
business before determining if an individual or partnership may have
net earnings from self-employment. When a claimant indicates self-
employment as a farmer, SSA obtains the information we need to
determine the existence of an agricultural trade or business and
subsequent covered earnings for Social Security entitlement purposes
using Form SSA-7165, Farm Self-Employment Questionnaire. As part of the
application process, we conduct a personal interview, either face-to-
face or via telephone, and document the interview using Form SSA-7165.
The respondents are applicants for Social Security benefits, whose
entitlement depends on worker's having covered earnings from self-
employment as a farmer.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-7156.................................... 47,500 1 10 7,917
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3. Statement of Household Expenses and Contributions--20 CFR
416.1130-416.1148--0960-0456. SSA bases eligibility for Supplemental
Security Income (SSI) on the needs of the recipient. In part, we assess
need by determining the amount of income a recipient receives. This
income includes in-kind support and maintenance in the form of food and
shelter provided by other persons. SSA uses Form SSA-8011-F3 to
determine if the claimant or recipient receives in-kind support and
maintenance. This is necessary to determine (1) the claimant or
recipient's eligibility for SSI and (2) the SSI payment amount. SSA
only uses this form in cases where SSA needs the householder's (head of
household) corroboration of in-kind support and maintenance.
Respondents are householders of homes in which an SSI applicant or
recipient resides.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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SSA-8011-F3................................. 428,100 1 15 107,025
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Dated: October 10, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-25276 Filed 10-12-12; 8:45 am]
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