[Federal Register Volume 78, Number 116 (Monday, June 17, 2013)]
[Notices]
[Pages 36291-36294]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-14278]
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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 one extension and two revisions 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 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
August 16, 2013. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Travel Expense Reimbursement--20CFR 404.999(d) and 416.1499--
0960-0434. The Social Security Act (Act) stipulates that Federal and
State agencies reimburse travel expenses for claimants, their
representatives, and all necessary witnesses for travel exceeding 75
miles to attend medical examinations, reconsideration interviews, and
proceedings before an administrative law judge. Reimbursement
procedures require the claimant to provide (1) a list of expenses
incurred and (2) receipts of such expenses. Federal and State personnel
review the listings and receipts to verify the amount reimbursable to
the requestor. The respondents are claimants for title II benefits and
title XVI payments, their representatives and witnesses.
Type of Request: Extension of an OMB-approved information
collection.
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Average burden Estimated
Modality of completion Number of Frequency of per response annual burden
respondents response (minute) (hours)
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404.999(d) & 416.1499....................... 60,000 1 10 10,000
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2. Social Security Benefits Application--20 CFR 404.310-404.311,
404.315-404.322, 404.330-404.333, 404.601-404.603, and 404.1501-
404.1512--0960-0618. Title II of the Social Security Act provides
retirement, survivors, and disability benefits to members of the public
who meet the required eligibility criteria and file the appropriate
application. This collection comprises the various application methods
for each type of benefits. These methods include the following
modalities: Paper forms (Forms SSA-1, SSA-2, and SSA-16); Modernized
Claims System (MCS) screens for in-person interview applications; and
Internet-based iClaim and iAppointment applications. SSA uses the
information collected using these modalities to determine: (1) The
applicants' eligibility for the above-mentioned Social Security
benefits and (2) the amount of the benefits. The respondents are
applicants
[[Page 36292]]
for retirement, survivors, and disability benefits under title II of
the Social Security Act.
Type of Request: Revision of an OMB-approved information
collection.
Form SSA-1
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Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response annual burden
(minute) (hours)
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MCS/Signature Proxy............................. 1,441,400 1 10 240,233
Paper........................................... 2,300 1 11 422
Medicare-only MCS............................... 418,300 1 7 48,802
Medicare-only Paper............................. 300 1 7 35
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Totals...................................... 1,862,300 .............. .............. 289,492
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Form SSA-2
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Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response annual burden
(minute) (hours)
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MCS/Signature Proxy............................. 364,000 1 14 84,933
Paper........................................... 1,200 1 15 300
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Totals...................................... 365,200 .............. .............. 85,233
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Form SSA-16
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Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response annual burden
(minute) (hours)
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MCS/Signature Proxy............................. 1,695,800 1 19 537,003
Paper........................................... 53,300 1 20 17,767
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Totals...................................... 1,749,100 .............. .............. 554,770
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iClaim Screens
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Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response annual burden
(minute) (hours)
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iClaim 3rd Party................................ 431,357 1 15 107,839
iClaim Applicant after 3rd Party Completion..... 431,357 1 5 35,946
First Party iClaim--Domestic Applicant.......... 1,838,943 1 15 459,736
First Party iClaim--Foreign Applicant........... 8,291 1 3 415
Medicare-only iClaim............................ 552,400 1 10 92,067
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Totals...................................... 3,262,348 .............. .............. 696,003
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iAppointment Screens
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Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response annual burden
(minute) (hours)
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iAppointment.................................... 200,000 1 10 33,333
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[[Page 36293]]
Grand Total
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Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response annual burden
(minute) (hours)
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Total........................................... 7,438,948 .............. .............. 1,658,831
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3. Request for Accommodation in Communication Method--0960-0777.
SSA allows blind or visually impaired Social Security applicants,
beneficiaries, recipients, and representative payees to choose one of
seven alternative methods of communication they want SSA to use when we
send them benefit notices and other related communications. The seven
alternative methods we offer are: (1) Standard print notice by first-
class mail; (2) standard print mail with a follow-up telephone call;
(3) certified mail; (4) Braille; (5) Microsoft Word file on data CD;
(6) large print (18-point font); or (7) audio CD. However, respondents
who want to receive notices from SSA through a communication method
other than the seven methods listed above must explain their request to
us. Those respondents use Form SSA-9000 to: (1) Describe the type of
accommodation they want, (2) disclose their condition necessitating the
need for a different type of accommodation, and (3) explain why none of
the seven methods described above are sufficient for their needs. SSA
uses Form SSA-9000 to determine, based on applicable law and
regulation, whether to grant the respondents' requests for an
accommodation based on their blindness, or other visual impairment. SSA
collects this information electronically through either an in-person
interview or a telephone interview during which the SSA employee keys
in the information on Intranet screens. The respondents are blind or
visually impaired Social Security applicants, beneficiaries,
recipients, and representative payees who ask SSA to send notices and
other communications in an alternative method besides the seven
modalities we currently offer.
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 respondents response response annual burden
(minute) (hours)
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SSA-9000........................................ 1417 1 20 472
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This is a correction notice: SSA published this information
collection with incorrect burden information at 78 FR 33142 on June 3,
2013. We are providing the corrected burden here.
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 July 17, 2013. Individuals can obtain copies of the OMB
clearance packages by writing to [email protected].
1. Representative Payee Evaluation Report--20 CFR 404.2065 &
416.665--0960-0069. Sections 205(j) and 1631(a)(2) of the Act state SSA
may appoint a representative payee to receive title II benefits or
title XVI payments on behalf of individuals unable to manage or direct
the management of those funds themselves. SSA requires appointed
representative payees to report once each year on how they used or
conserved those funds. When a representative payee fails to adequately
report to SSA as required, SSA conducts a face-to-face interview with
the payee and completes Form SSA-624, Representative Payee Evaluation
Report, to determine the continued suitability of the representative
payee to serve as a payee. The respondents are individuals or
organizations serving as representative payees for individuals
receiving title II benefits or title XVI payments and who fail to
comply with SSA's statutory annual reporting requirement.
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-624..................................... 267,000 1 30 133,500
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Note: This is a correction notice: SSA published this
information collection with outdated burden information at 78 FR
19794 on April 2, 2013. We are providing updated burden here.
2. Waiver of Supplemental Security Income Payment Continuation--20
CFR 416.1400-416.1422--0960-0783. Supplemental Security Income (SSI)
recipients who wish to discontinue their SSI payments while awaiting a
determination on their appeal complete Form SSA-263-U2, Waiver of
Supplemental Security Income Payment Continuation, to inform SSA of
this decision. SSA collects the information to determine whether the
SSI recipient meets the provisions of the Act regarding waiver of
payment continuation and as proof respondents no longer want their
payments to continue. Respondents are recipients of SSI payments who
wish to discontinue receipt of payment while awaiting a determination
on their appeal.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 36294]]
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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-263-U2.................................. 3,000 1 5 250
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Dated: June 12, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-14278 Filed 6-14-13; 8:45 am]
BILLING CODE 4191-02-P