[Federal Register Volume 78, Number 204 (Tuesday, October 22, 2013)]
[Notices]
[Pages 62932-62935]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-24595]
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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 and extensions 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
December 23, 2013. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Requests for Self-Employment Information, Employee Information,
Employer Information--20 CFR 422.120-0960-0508. When SSA cannot
identify Form W-2 wage data for an individual, we place the data in an
earnings suspense file and contact the individual (and certain
instances the employer) to obtain the correct information. If the
respondent furnishes the name and Social Security number (SSN)
information that agrees with SSA's records, or provides information
that resolves the discrepancy, SSA adds the reported earnings to the
respondent's Social Security record. We use Forms SSA-L2765, SSA-L3365,
and SSA-L4002 for this purpose. The respondents are self-employed
individuals and employees whose name and SSN information do not agree
with their employer's and SSA's records.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
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SSA-L2765....................................... 12,321 1 10 2,054
SSA-L3365....................................... 179,749 1 10 29,958
SSA-L4002....................................... 121,679 1 10 20,280
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Totals...................................... 313,749 .............. .............. 52,292
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2. Employer Reports of Special Wage Payments--20 CFR 404.428-
404.429 --0960-0565. SSA collects information on the SSA-131 to prevent
earnings-related overpayments and to avoid erroneous withholding of
benefits. SSA field offices and program service centers also use Form
SSA-131 for awards and post-entitlement events requiring special wage
payment verification from employers. While we need this information to
ensure the correct payment of benefits, we do not require employers to
respond. The respondents are large and small businesses that make
special wage payments to retirees.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 62933]]
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Estimated
Number of Frequency of Average burden total annual
Modality of completion respondents response per response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper Version: SSA-131 (without 6)..... 105,000 1 20 35,000
Paper Version: SSA-131 (6 only)........ 1,050 1 2 35
Electronic Version: Business Services Online 26 1 5 2
Special Wage Payments..........................
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Totals...................................... 106,076 .............. .............. 35,037
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3. Work Activity Report (Self-Employment)--20 CFR 404.1520(b), 20
CFR 404.1571-404.1576, 20 CFR 404.1584-404.1593, and 20 CFR 416.971-
416.976--0960-0598. SSA uses Form SSA-820-U4 to determine initial or
continuing eligibility for (1) Title II Social Security disability
benefits or (2) Title XVI Supplemental Security Income (SSI) payments.
Under Titles II and XVI of the Social Security Act, recipients receive
disability benefits and SSI payments based on their inability to engage
in substantial gainful activity (SGA) due to a physical or mental
condition. Therefore, when the recipients resume work, they must report
their work so SSA can evaluate and determine whether they continue to
meet the disability requirements by law. SSA uses Form SSA-820-U4 to
obtain information on self-employment activities of Social Security
disability applicants and recipients. We use the data we obtain to
evaluate disability claims, and to help us determine if the claimant
meets current disability provisions under Titles II and XVI. Since
applicants for disability benefits must prove an inability to perform
any kind of SGA generally available in the national economy for which
we expect them to qualify based on age, education, and work experience,
any work an applicant performed until, or subsequent to, the date the
disability allegedly began, affects our disability determination. The
respondents are applicants and claimants for SSI or Social Security
disability benefits.
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-820-BK.................................. 100,000 1 30 50,000
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4. Private Printing and Modification of Prescribed Application and
Other Forms--20 CFR 422.527--0960-0663. 20 CFR 422.527 of the Code of
Federal Regulations requires a person, institution, or organization
(third-party entities) to obtain approval from SSA prior to
reproducing, duplicating, or privately printing any application or
other form the agency owns. SSA uses the information to ensure requests
comply with the law and regulations. SSA uses the information to
process requests from third-party entities who want to reproduce,
duplicate, or privately print any SSA application or other SSA form. To
obtain SSA's approval, entities must make their requests in writing,
using their company letterhead, providing the required information set
forth in the regulation. SSA employees review the requests and provide
approval via email or mail to the third-party entities. The respondents
are third-party entities who submit a request to SSA to reproduce,
duplicate, or privately print an SSA-owned form.
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
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
20 CFR422.527............................... 15 15 8 30
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5. Methods for Conducting Personal Conferences When Waiver of
Recovery of a Title II or Title XVI Overpayment Cannot Be Approved--20
CFR 404.506(e)(3), 404.506(f)(8), 416.557(c)(3), and 416.557(d)(8)--
0960-0769. SSA conducts personal conferences when we cannot approve a
waiver of recovery of a Title II or Title XVI overpayment. We are
required to give overpaid Social Security beneficiaries and SSI
recipients the right to request a waiver of recovery and automatically
schedule a personal conference if we cannot approve their request for
waiver of overpayment. We conduct these conferences face-to-face, by
telephone, or by video teleconference. Social Security beneficiaries
and SSI recipients or their representatives may provide documents to
demonstrate they are without fault in causing the overpayment and do
not have the ability to repay the debt. They may submit these documents
by Form SSA-632 (OMB No. 0960-0037), Request for Waive of Overpayment
Recovery; SSA-795 (OMB No. 0960-0045), Statement of Claimant or Other
Person; or personal statement submitted by mail, telephone, personal
contact, or other suitable method, such as fax or email. This
information collection
[[Page 62934]]
satisfies the requirements for request for waiver of recovery of an
overpayment and allows individuals to pursue further levels of
administrative appeal via personal conference. Respondents are Social
Security beneficiaries and SSI recipients or their representatives
seeking reconsideration of an SSA waiver decision.
Type of Request: Extension 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)
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Personal conference 404.506(e)(3) and 404- 40,000 1 30 20,000
506(f)(8) submittal of documents, additional
mitigating financial information and
verifications for consideration at personal
conferences....................................
Personal conference 416.557(c)(3) and 416- 63,801 1 30 31,901
557(d)(8) submittal of documents additional
mitigating financial information, and
verifications for consideration at personal
conferences....................................
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Totals...................................... 103,801 .............. .............. 51,901
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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 November 21, 2013. Individuals can obtain copies of the
OMB clearance packages by writing to [email protected].
1. Incorporation by Reference of Oral Findings of Fact and
Rationale in Wholly Favorable Written Decisions (Bench Decision
Regulation)--20 CFR 404.953 and 416.1453--0960-0694. If an
administrative law judge (ALJ) makes a wholly favorable oral decision
that includes all the findings and rationale for the decision for a
claimant of Title II or Title XVI payments at an administrative appeals
hearing, the ALJ sends a Notice of Decision (Form HA-82), as the
records from the oral hearing preclude the need for a written decision.
We call this the incorporation-by-reference process. In addition, the
regulations for this process state that if the involved parties want a
record of the oral decision, they may submit a written request for
these records. SSA collects identifying information under the aegis of
Sections 20 CFR 404.953 and 416.1453 of the Code of Federal Regulations
to determine how to send interested individuals written records of a
favorable incorporation-by-reference oral decision made at an
administrative review hearing. Since there is no prescribed form to
request a written record of the decision, the involved parties send SSA
their contact information and reference the hearing for which they
would like a record. The respondents are applicants for disability
insurance benefits and SSI payments or their representatives to whom
SSA gave a wholly favorable oral decision under the regulations cited
above.
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
respondents response (minutes) (hours)
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HA-82....................................... 2,500 1 5 208
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2. Request for Proof(s) from Custodian of Records--20 CFR 404.703,
404.704, 404.720, 404.721, 404.723, 404.725, & 404.728--0960-0766. SSA
sends Form SSA-L707, Request for Proof(s) from Custodian of Records, to
records custodians on behalf of individuals who need help obtaining
evidence of death, marriage, or divorce in connection with claims for
benefits. SSA uses the information from the SSA-L707 to determine
eligibility for benefits. The respondents are records custodians
including statistics and religious entities, coroners, funeral
directors, attending physicians, and State agencies.
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)
----------------------------------------------------------------------------------------------------------------
State or Local Government....................... 501 1 10 84
Private Sector.................................. 99 1 10 17
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Totals...................................... 600 .............. .............. 101
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[[Page 62935]]
Dated: October 17, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-24595 Filed 10-21-13; 8:45 am]
BILLING CODE 4191-02-P