[Federal Register Volume 79, Number 147 (Thursday, July 31, 2014)]
[Notices]
[Pages 44483-44485]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-17994]
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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 an extenstion 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
September 29, 2014. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. General Request for Social Security Records--eFOIA--20 CFR
402.130--0960-0716. Interested members of the public use this
electronic request to ask SSA for information under the Freedom of
Information Act (FOIA). SSA also uses this collection to track the
number and type of information requests; fees charged; payment amounts;
and SSA's responses to public requests within the required 20 days.
Respondents are members of the public including individuals,
institutions, or agencies requesting information or documents under
FOIA.
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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eFOIA....................................... 2,500 1 3 125
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2. Incoming and Outgoing Intergovernmental Personnel Act Assignment
Agreement--5 CFR 334--0960-0792. The Intergovernmental Personnel Act
(IPA) mobility program provides for the temporary assignment of
civilian personnel between the Federal Government and State and local
governments; colleges and universities; Indian tribal governments;
federally-funded research and development centers; and other eligible
organizations. The Office of Personnel Management (OPM) created a
generic form, the OF-69, for agencies to use as a template when
collecting information for the IPA assignment. The OF-69 collects
specific information about the agreement, including (1) the enrolled
employee's name, Social Security number, job title, salary,
classification, and address; (2) the type of assignment; (3) the
reimbursement arrangement, and (4) an explanation of how the assignment
benefits both SSA and the non-federal organization involved in the
exchange. OPM directs agencies to use their own forms for recording
these agreements. Accordingly, SSA modified the OF-69 to meet our
needs, creating the SSA-187 for incoming employees and the SSA-188 for
outgoing employees. Respondents are the individuals we describe above
who participate in the IPA exchange with SSA.
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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Non-Federal employee............................ 10 1 30 5
Non-Federal employer signers.................... 20 1 5 2
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Totals...................................... 30 .............. .............. 7
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[[Page 44484]]
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 September 2, 2014. Individuals can obtain copies of the
OMB clearance packages by writing to [email protected].
1. Information Collections Conducted by State Disability
Determination Services on Behalf of SSA--20 CFR, subpart P, 404.1503a,
404.1512, 404.1513, 404.1514 404.1517, 404.1519; 20 CFR subpart Q,
404.1613, 404.1614, 404.1624; 20 CFR subpart I, 416.903a, 416.912,
416.913, 416.914, 416.917, 416.919 and 20 CFR subpart J, 416.1013,
416.1024, 416.1014--0960-0555. State Disability Determination Services
(DDS) collect the information necessary to administer the Social
Security Disability Insurance and Supplemental Security Income (SSI)
programs. They collect medical evidence from consultative examination
(CE) sources, credential information from CE source applicants, and
medical evidence of record (MER) from claimants' medical sources. The
DDSs collect information from claimants regarding medical appointments,
pain, symptoms, and impairments. The respondents are medical providers,
other sources of MER, and disability claimants.
Type of Request: Extension of an OMB-approved information
collection.
CE Collections
There are three CE information collections: (a) Medical evidence
about claimants' medical condition(s) that DDS's use to make disability
determinations when the claimant's own medical sources cannot or will
not provide the required information, and proof of credentials from CE
providers; (b) CE appointment letters; and (c) CE claimant reports sent
to claimants' doctors.
(a) Medical Evidence and Credentials From CE Providers
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Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response total annual
(minutes) burden (hours)
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CE Paper Submissions............................ 1,400,000 1 30 700,000
CE Electronic Submissions....................... 296,000 1 10 49,333
CE Credentials.................................. 4,000 1 15 1,000
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Totals...................................... 1,700,000 .............. .............. 750,333
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(b) CE Appointment Letters and (c) CE Claimants' Report to Medical
Providers
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Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response total annual
(minutes) burden (hours)
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b) CE Appointment Letters....................... 880,000 1 5 73,333
c) CE Claimants' Report to Medical Providers.... 450,000 1 5 37,500
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Totals...................................... 1,330,000 .............. .............. 110,833
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MER Collections
The DDS's collect MER information from the claimant's medical
sources to determine a claimant's physical or mental status prior to
making a disability determination.
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Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response total annual
(minutes) burden (hours)
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Paper Submissions............................... 3,150,000 1 20 1,050,000
Electronic Submissions.......................... 9,450,000 1 12 1,890,000
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Totals...................................... 12,600,000 .............. .............. 2,940,000
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Pain/Other Symptoms/Impairment Information From Claimants
The DDSs use information about pain/symptoms to determine how pain/
symptoms affect the claimant's ability to do work-related activities
prior to making a disability determination.
[[Page 44485]]
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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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Pain/Other Symptoms/Impairment Information.. 2,100,000 1 20 700,000
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The total estimated annual burden for all categories described in
this information collection is 4,501,166 hours.
Note: This is a correction notice: SSA published this
information collection as a revision and with incorrect burden
information at 79 FR 26798 on 05/09/14. We are correcting this error
here.
2. Authorization to Disclose Information to SSA--20 CFR 404.1512
and 416.912, 45 CFR 160 and 164--0960-0623. Sections 223(d)(5)(A) and
1614(a)(3)(H)(i) of the Social Security Act require claimants to
furnish such medical and other evidence as the Commissioner of Social
Security may require to prove that they are disabled. SSA must obtain
sufficient evidence to make eligibility determinations for Title II and
Title XVI payments. Therefore, the applicant must authorize release of
information from various sources to SSA. The applicants use Form SSA-
827 to provide consent for the release of medical records, education
records, and other information related to their ability to perform
tasks. Once the applicant completes Form SSA-827, SSA or the State DDS
sends the form to the designated source(s) to obtain pertinent records.
The respondents are applicants for Title II benefits and Title XVI
payments.
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 total annual
(minutes) burden (hours)
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SSA-827 with electronic signature 1,922,938 1 9 288,441
(eAuthorization)...............................
SSA-827 with wet signature (paper version)...... 1,441,052 1 10 240,175
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Totals...................................... 3,363,990 .............. .............. 528,616
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Dated: July 28, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-17994 Filed 7-30-14; 8:45 am]
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