[Federal Register Volume 78, Number 125 (Friday, June 28, 2013)]
[Notices]
[Pages 39055-39057]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-15520]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: 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.
    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

[[Page 39056]]

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].

    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 29, 2013. Individuals can obtain copies of the OMB 
clearance packages by writing to [email protected].
    1. Application for Lump Sum Death Payment--20 CFR 404.390-404.392--
0960-0013. SSA uses Form SSA-8-F4 to collect information needed to 
authorize payment of the lump sum death payment (LSDP) to a widow, 
widower, or children as defined in section 202(i) of the Social 
Security Act (Act). Respondents complete the application for this one-
time payment via paper form, telephone, or during an in-person 
interview with SSA employees. Respondents are applicants for the LSDP.

    Note: This is a correction notice: SSA published the incorrect 
burden information for this collection at 78 FR 21183, on 4/09/13. 
We are correcting this error here.

    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of collection                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Modernized Claims System (MCS)..................         557,650               1               9          83,648
Paper...........................................          29,350               1              10           4,892
                                                 ---------------------------------------------------------------
    Totals......................................         587,000  ..............  ..............          88,540
----------------------------------------------------------------------------------------------------------------

    2. Request for Earnings and Benefit Estimate Statement--20 CFR 
404.810--0960-0466. Section 205(c)(2)(A) of the Act allows the 
Commissioner of SSA to establish and maintain records of wages paid to, 
and amounts of self-employment income derived by, each individual as 
well as the periods in which such wages were paid and such income 
derived. An individual may complete and mail Form SSA-7004 to SSA to 
obtain a Statement of Earnings or Quarters of Coverage. SSA uses the 
information Form SSA-7004 collects to identify respondents' Social 
Security earnings records, extract posted earnings information, 
calculate potential benefit estimates, produce the resulting Social 
Security statements, and mail them to the requesters. The respondents 
are Social Security number holders requesting information about their 
Social Security earnings records and estimates of their potential 
benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average        Estimated
                                                     Number of     Frequency of     burden per     total annual
             Modality of collection                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-7004 (paper)................................          17,219               1               5           1,435
SSA-7004 (Internet).............................       3,198,361               1               5         266,530
                                                 ---------------------------------------------------------------
    Totals......................................       3,215,580  ..............  ..............         267,965
----------------------------------------------------------------------------------------------------------------

    3. Questionnaire About Special Veterans Benefits--0960-0782. SSA 
regularly reviews individuals' claims for Special Veterans Benefits 
(SVB) to determine their continued eligibility and the correct payment 
amounts owed to them. Individuals living outside the United States 
receiving SVB must report to SSA any changes that affect their 
benefits, such as (1) a change in mailing address or residence; (2) an 
increase or decrease in a pension, annuity or other recurring benefit; 
(3) a return or visit to the United States for a calendar month or 
longer; and (4) an inability to manage benefits. SSA uses Form SSA-
2010, Questionnaire About Special Veterans Benefits, to collect this 
information. Respondents are beneficiaries living outside the United 
States collecting SVB.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of collection                Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-2010....................................           1,308                1               20              436
----------------------------------------------------------------------------------------------------------------



[[Page 39057]]

    Dated: June 25, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-15520 Filed 6-27-13; 8:45 am]
BILLING CODE 4191-02-P