[Federal Register Volume 77, Number 199 (Monday, October 15, 2012)]
[Notices]
[Pages 62593-62595]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-25277]
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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. Certificate of Support--20 CFR 404.370, 404.750, 404.408a--0960-
0001. A parent of a deceased, fully insured worker may be entitled to
Social Security Old-Age, Survivors, and Disability Insurance (OASDI)
benefits
[[Page 62594]]
based on the earnings record of the deceased worker under certain
conditions. One of the conditions is the parent must have received at
least one-half support from the deceased worker. The one-half support
requirement also applies to a spousal applicant in determining whether
OASDI benefits are subject to Government Pension Offset (GPO). SSA uses
the information from Form SSA-760-F4 to determine if the parent of a
deceased worker or a spouse applicant meets the one-half support
requirement. Respondents are (1) parents of deceased workers and (2)
spouses who may meet the GPO exception.
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-760-F4.................................. 18,000 1 15 4,500
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2. Pre-1957 Military Service Federal Benefit Questionnaire--20 CFR
404.1301-404.1371--0960-0120. SSA may grant gratuitous military wage
credits for active military or naval service (under certain conditions)
during the period September 16, 1940 through December 31, 1956, if no
other Federal agency (other than the Veterans Administration) credited
the service for benefit eligibility or computation purposes. We use
Form SSA-2512 to collect specific information about other Federal,
military, or civilian benefits the wage earner may receive when the
applicant indicates both pre-1957 military service and the receipt of a
Federal benefit. SSA uses the data in the claims adjudication process
to grant gratuitous military wage credits when applicable, and to
solicit sufficient information to determine eligibility. Respondents
are applicants for Social Security benefits on a record where the wage
earner claims pre-1957 military service.
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-2512.................................... 5,000 1 10 833
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3. Authorization for the Social Security Administration to Obtain
Account Records from a Financial Institution and Request for Records--
20 CFR 416.200, 416.203--0960-0293. SSA collects and verifies financial
information from individuals applying for Supplemental Security Income
(SSI) to determine if the applicant meets the SSI resource eligibility
requirements. If the SSI claimants provide records that are incomplete,
unavailable, or seemingly altered, SSA contacts their financial
institution to verify the existence, ownership, and value of accounts
owned. Financial institutions require individuals to sign Form SSA-
4641-U2 to authorize them to disclose records to SSA. The respondents
are financial institutions of SSI applicants, recipients, and their
deemors.
Type of Request: Revision of an OMB-approved information
collection.
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Estimated
Number of Frequency of Average burden total annual
Modality of completion respondents response per response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-4641 (paper)................................ 44,100 1 6 4,410
e4641 (electronic).............................. 6,955,900 1 2 231,863
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Totals...................................... 7,000,000 .............. .............. 236,273
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4. Response to Notice of Revised Determination--20 CFR 404.913-
404.914, 404.992(b), 416.1413-416.1414 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'
records show their disability ceased, SSA notifies the disability
claimants or 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 to accomplish these two actions. The
respondents are disability claimants, current disability recipients, or
their representatives.
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-765..................................... 1,925 1 30 963
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[[Page 62595]]
5. Notification of a Social Security Number (SSN) To An Employer
for Wage Reporting--20 CFR 422.103(a)--0960-0778. Individuals applying
for employment must provide an SSN or indicate they have applied for
one. However, when an individual applies for an initial SSN, there is a
delay between the assignment of the number and the delivery of the SSN
card. At an individual's request, SSA uses Form SSA-132 to send the
individual's SSN to an employer. Mailing this information to the
employer (1) ensures the employer has the correct SSN for the
individual; (2) allows SSA to receive correct earnings information for
wage reporting purposes; and (3) reduces the delay in the initial SSN
assignment and delivery of the SSN information directly to the
employer. It also enables SSA to verify the employer as a safeguard for
the applicant's personally identifiable information. The majority of
individuals who take advantage of this option are in the United States
with exchange visitor and student visas; however, we allow any
applicant for an SSN to use the SSA-132. The respondents are
individuals applying for an initial SSN who ask SSA to mail
confirmation of their application or the SSN to their employers.
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-132..................................... 249,000 1 2 8,300
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Dated: October 10, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-25277 Filed 10-12-12; 8:45 am]
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