[Federal Register Volume 78, Number 74 (Wednesday, April 17, 2013)]
[Notices]
[Pages 22935-22936]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-08982]
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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 a 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 June
17, 2013. Individuals can obtain copies of the collection instruments
by writing to the above email address.
Promoting Readiness of Minors in Supplemental Security Income (SSI)
(PROMISE) Evaluation--Preliminary Activities--0960-NEW
Background
The Promoting Readiness of Minors in SSI (PROMISE) program pursues
positive outcomes for children with disabilities who receive
Supplemental Security Income (SSI) and their families by reducing
dependency on SSI. The Department of Education is awarding grants to
States to improve the provision and coordination of services and
support for children with disabilities who receive SSI and their
families to achieve improved outcomes.
PROMISE Evaluation
With support from the Department of Labor and the Department of
Health and Human Services, SSA will evaluate the PROMISE program. SSA
will contract with an evaluator to conduct the evaluation. The
assessment will require a process evaluation of the PROMISE projects,
an impact analysis of important outcomes, and a cost-benefit analysis.
This will be a multi-site project conducted in four States. The
evaluation contractor and the local PROMISE projects will collect data
on project participants.
Current Information Collection Request
SSA will pursue OMB approval for the actual project surveys and
focus group interviews at a later date. In this information collection
request, SSA is only seeking OMB clearance for two pre-project
activities: (1) An initial intake interview (documented on a
demonstration enrollment form), and (2) a consent form. Contractors
will conduct both preliminary activities at local project assessment
sites. The respondents are minors receiving SSI and their parents/
guardians who will eventually participate in the PROMISE project.
Type of Request: This is a new information collection.
[[Page 22936]]
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Average burden Estimated
Modality of completion Number of Frequency of Number of per response total annual
respondents response responses (minutes) burden (hours)
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Demonstration Enrollment Form. 8,000 Subjects will 8,000 5 666
only fill this
form out 1 time.
Consent Form.................. 8,000 Subjects will 8,000 2 266
only fill this
form out 1 time.
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Totals.................... 8,000 ................ 16,000 .............. 932
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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 May 17, 2013. Individuals can obtain copies of the OMB
clearance packages by writing to [email protected].
1. Request for Change in Time/Place of Disability Hearing--20 CFR
404.914(c)(2) and 416.1414(c)(2)--0960-0348. At the request of the
claimants or their representative, SSA schedules evidentiary hearings
at the reconsideration level for claimants of title II benefits or
title XVI payments when we deny their claims for disability. When
claimants or their representatives find they are unable to attend the
scheduled hearing, they complete Form SSA-769 to request a change in
time or place of the hearing. SSA uses the information as a basis for
granting or denying requests for changes and for rescheduling
disability hearings. Respondents are claimants or their representatives
who wish to request a change in the time or place of their hearing.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated total
Modality of collection Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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SSA-769..................................... 7,483 1 8 998
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2. Beneficiary Interview and Auditor's Observations Form--0960-
0630. SSA's Office of the Inspector General collects information
through Form SSA-322, the Beneficiary Interview and Auditor's
Observation form, to interview beneficiaries or their representative
payees to determine if the payees are complying with their duties and
responsibilities. SSA randomly selects SSI recipients and Social
Security beneficiaries who have representative payees as respondents
for this collection.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated total
Modality of collection Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-322..................................... 1,000 1 15 250
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Dated: April 12, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-08982 Filed 4-16-13; 8:45 am]
BILLING CODE 4191-02-P