[Federal Register Volume 78, Number 251 (Tuesday, December 31, 2013)]
[Notices]
[Pages 79723-79726]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-31293]
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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, OLCA, Attn: Reports Clearance
Director, 3100 West High Rise, 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
March 3, 2014. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. Application for Survivors Benefits--20 CFR 404.611(a) and (c)--
0960-0062. Surviving family members of armed services personnel can
file for Social Security and veterans' benefits with SSA or at the
Veterans Administration (VA). If applicants file for Title II survivor
benefits at the VA, they complete Form SSA-24, which is then forwarded
to SSA for processing. SSA uses the information to determine
eligibility for benefits. The respondents are survivors of deceased
armed services personnel who are applying for benefits at the VA.
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-24...................................... 3,200 1 15 800
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2. Student Reporting Form--20 CFR 404.352(b)(2); 404.367; 404.368;
404.415; 404.434; 422.135--0960-0088. To qualify for Social Security
Title II student benefits, student beneficiaries must be in full-time
attendance status at an educational institution. In addition, SSA
requires these beneficiaries to report events that may cause a
reduction, termination, or suspension of their benefits. SSA collects
such information on Forms SSA-1383 and
[[Page 79724]]
SSA-1383-FC to determine if the changes or events the student
beneficiaries report will affect their continuing entitlement to SSA
benefits. SSA also uses the SSA-1383 and SSA-1383-FC to calculate the
correct benefit amounts for student beneficiaries. The respondents are
Social Security Title II student beneficiaries.
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 completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
SSA-1383........................................ 74,887 1 6 7,489
SSA-1383-FC..................................... 113 1 6 11
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Totals...................................... 75,000 .............. .............. 7,500
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3. Reporting Events--SSI-20 CFR 416.701-416.732--0960--0128. SSA
mails the SSA-8150 to SSI recipients when they allege payment or
eligibility-changing events. Either the SSI recipient fills out the
paper version of the form, or they complete the form through an in-
person or telephone interview with an SSA employee who records the
information using the Modernized SSI Claims System. In addition to the
SSA-8150, recipients may need to submit supplementary documentation
showing the payment or eligibility-changing events (e.g., payment
stubs, or rental agreements). SSA uses Form SSA-8150 and the
supplementary documentation to determine changes in Supplemental
Security Income (SSI) eligibility and amounts. The respondents are
current SSI recipients, or their representatives, who experience a
payment or eligibility-changing event.
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-8150.................................... 36,767 1 5 3,064
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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 30, 2014. Individuals can obtain copies of the
OMB clearance packages by writing to [email protected].
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 in 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 Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
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.
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Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper Version: SSA-131 (without 6)..... 105,000 1 20 35,000
[[Page 79725]]
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 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 by law whether they continue to meet the
disability requirements. 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)
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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. 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
uses the information to (1) ensure requests comply with the law and
regulations, and (2) process requests from third-party entities who
want to reproduce, duplicate, or privately print any SSA application or
other SSA form. 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 CFR 422.527.............................. 15 15 8 30
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5. Epidemiological Research Report--20 CFR 401.165--0960-0701.
Section 311 of the Social Security Independence and Program
Improvements Act of 1994 directs SSA to support health researchers
involved in epidemiological research. Specifically, when we determine a
study contributes to a national health interest, SSA furnishes
information to determine if a study subject appears in SSA
administrative records as alive or deceased (vital status). SSA charges
a small fee per request for providing this information. Web posted
questions solicit the information SSA needs to provide the data and to
collect the fees. The respondents are qualified health and scientific
researchers who apply to receive vital status information about
individuals from Social Security administrative data records.
Type of Request: Extension of an OMB-approved information
collection.
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Average Estimated
Number of Frequency of burden per total annual
Type of respondent respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
State & Local Government........................ 15 1 120 30
Private Entities................................ 10 1 120 20
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Totals...................................... 25 .............. .............. 50
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[[Page 79726]]
Cost Burden
Average annual cost per respondent (based on SSA data): $3,500.
Total estimated annual cost burden: $87,500.
Dated: Decdember 26, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-31293 Filed 12-30-13; 8:45 am]
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