[Federal Register Volume 77, Number 236 (Friday, December 7, 2012)]
[Notices]
[Pages 73112-73113]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-29577]
[[Page 73112]]
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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 to 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: [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
February 5, 2013. Individuals can obtain copies of the collection
instruments by writing to the above email address.
Statement for Determining Continuing Eligibility, Supplemental
Security Income Payment(s)--416.204-0960-0416. SSA conducts disability
redeterminations to determine if Supplemental Security Income (SSI)
recipients (1) met and continue to meet all statutory and regulatory
requirements for SSI eligibility and (2) are receiving the correct SSI
payment amount. SSA makes these redeterminations through periodic use
of Form SSA-8203-BK. SSA conducts this legally mandated information
collection in field offices via personal contact (face-to-face or
telephone interview) using the automated Modernized SSI Claim System
(MSSICS). The respondents are SSI recipients or their representative
payees.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Number of Frequency of burden per Estimated
Modality of completion responses response response total annual
(minutes) burden (hours)
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MSSICS.......................................... 810,824 1 20 270,275
MSSICS/Signature Proxy.......................... 777,085 1 19 246,077
Paper........................................... 27,824 1 20 9,275
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Totals...................................... 1,615,733 .............. .............. 525,627
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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 January 7, 2013. Individuals can obtain copies of the OMB
clearance packages by writing to [email protected].
1. Claimant Statement about Loan of Food or Shelter; Statement
about Food or Shelter Provided to Another--20 CFR 416.1130-416.1148-
0960-0529. SSA bases an SSI claimant or recipient's eligibility on
need, as measured by the amount of income an individual receives. Per
our calculations, income includes other people providing in-kind
support and maintenance in the form of food and shelter to SSI
applicants or recipients. SSA uses Forms SSA-5062 and SSA-L5063 to
obtain statements about food or shelter provided to SSI claimants or
recipients. SSA uses this information to determine whether food or
shelters are bona fide loans or income for SSI purposes. This
determination may affect the claimants' or recipients' eligibility for
SSI as well as the amounts of their SSI payments. The respondents are
claimants and recipients for SSI payments, and individuals who provide
loans of food or shelter to them.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Number of Frequency of burden per Estimated
Modality of completion responses response response total annual
(minutes) burden (hours)
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SSA-5062 Paper form............................. 34,900 1 10 5,817
SSA-L5063 Paper form............................ 34,900 1 10 5,817
SSA-5062 MSSICS................................. 34,900 1 10 5,817
SSA-L5063 MSSICS................................ 34,900 1 10 5,817
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Total....................................... 139,600 .............. .............. 23,268
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2. Site Review Questionnaire for Volume and Fee-for-Service Payees
and Beneficiary Interview Form--20 CFR 404.2035, 404.2065, 416.665,
416.701, and 416.708--0960-0633. SSA asks organizational representative
payees to complete Form SSA-637, the Site Review Questionnaire for
Volume and Fee-for-Service Payees, to provide information on how they
carry out their responsibilities, including how they manage beneficiary
funds. SSA then obtains information from the beneficiaries these
organizations represent via Form SSA-639, Beneficiary Interview Form,
to corroborate the payees' statements. Due to the sensitivity of the
information,
[[Page 73113]]
SSA employees always complete the forms based on the answers
respondents give during a personal interview. The respondents are
individuals, State and local governments, non-profit and for-profit
organizations serving as representative payees, and the beneficiaries
they serve.
Type of Request: Revision of an OMB-approved information
collection.
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Average
Number of Frequency of burden per Estimated
Modality of completion responses response response total annual
(minutes) burden (hours)
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SSA-637......................................... 1,999 1 120 3,998
SSA-639......................................... 8,293 1 10 1,382
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Totals...................................... 10,292 .............. .............. 5,380
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3. Certification of Prisoner Identity Information--20 CFR 422.107--
0960-0688. Inmates of Federal, State, or local prisons may need a
Social Security card as verification of their Social Security number
for school or work programs, or as proof of employment eligibility upon
release from incarceration. Before SSA can issue a replacement Social
Security card, applicants must show SSA proof of their identity. People
who are in prison for an extended period typically do not have current
identity documents. Therefore, under formal written agreement with the
correctional institution, SSA allows prison officials to verify the
identity of certain incarcerated U.S. citizens who need replacement
Social Security cards. Information prison officials provide comes from
the official prison files, sent on correctional facility letterhead.
SSA uses this information to establish the applicant's identity in the
replacement Social Security card process. The respondents are prison
officials who certify the identity of prisoners applying for
replacement Social Security cards.
Type of Request: Extension 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
responses response (minutes) (hours)
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Verification of Prisoner Identity Statements 1,100 200 3 11,000
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Dated: December 4, 2012.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2012-29577 Filed 12-6-12; 8:45 am]
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