[Federal Register Volume 79, Number 152 (Thursday, August 7, 2014)]
[Notices]
[Pages 46293-46295]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-18661]
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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 extension 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 collection below is pending at SSA. SSA will
submit it 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
October 6, 2014. Individuals can obtain copies of the collection
instruments by writing to the above email address.
Application for Supplemental Security Income--20 CFR 416.207 and
416.305--416.335, Subpart C--0960-0229. The Supplemental Security
Income (SSI) program provides aged, blind, and disabled individuals who
have little or no income, with funds for food, clothing, and shelter.
Individuals complete Form SSA-8000 to apply for SSI. SSA uses the
information from paper Form SSA-8000 and its electronic intranet
counterpart, the Modernized SSI Claims Systems (MSSICS), to determine:
(1) Whether SSI claimants meet all statutory and regulatory eligibility
requirements; and (2) SSI payment amounts. The respondents are
applicants for SSI or their representative payees.
Type of Request: Extension of an OMB-approved information
collection.
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Average burden Total estimated
Modality of completion Number of Frequency of per response anual burden
respondents response (minutes) (hours)
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SSA-8000, paper version................... 39,295 1 41 26,852
MSSICS Version............................ 211,802 1 36 127,081
[[Page 46294]]
MSSICS with Signature Proxy (attestation). 1,713,671 1 35 999,641
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Totals................................ 1,964,768 .............. .............. 1,153,574
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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 September 8, 2014. Individuals can obtain copies of the
OMB clearance packages by writing to [email protected].
1. Disability Report-Appeal--20 CFR 404.1512, 416.912, 404.916(c),
416.1416(c), 422.140, 404.1713, 416.1513, 404.1740(b)(4),
416.1540(b)(4), and 405 Subpart C--0960-0144. SSA requires disability
applicants who wish to appeal an unfavorable disability determination
to complete Form SSA-3441-BK, the associated Electronic Disability
Collect System (EDCS) interview, or the Internet application, i3441.
This allows claimants to disclose any changes to their disability or
resources that might influence SSA's unfavorable determination. We may
use the information to: (1) Reconsider and review an initial disability
determination; (2) review a continuing disability; and (3) evaluate a
request for a hearing. This information assists the State Disability
Determination Services (DDS) and administrative law judges (ALJ) in
preparing for the appeals and hearings, and in issuing a determination
or decision on an individual's entitlement (initial or continuing) to
disability benefits. In addition, the information we collect on the
SSA-3441-BK facilitates SSA's collection of medical information to
support the applicant's request for reconsideration; request for
benefits cessation appeal; and request for a hearing before an ALJ.
Respondents are individuals who appeal denial, reduction, or cessation
of Social Security disability income and SSI payments; who wish to
request a hearing before an ALJ; or their representatives.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Total estimated
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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SSA-3441-BK............................... 2,396 1 45 1,797
Electronic Disability Collect System 476,771 1 45 357,578
(EDCS)...................................
i3441 (Internet).......................... 1,046,938 1 28 488,571
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Totals................................ 1,526,105 .............. .............. 847,946
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2. Request for Hearing by Administrative Law Judge--20 CFR 404.929,
404.933, 416.1429, 404.1433, 418.1350, and 42 CFR 405.722--0960-0269.
When SSA denies applicants' or beneficiaries' requests for new or
continuing benefits, the Social Security Act entitles those applicants
or beneficiaries to request a hearing to appeal the decision. To
request a hearing, individuals complete Form HA-501, the associated
Modernized Claims System (MCS) or MSSICS interview, or the Internet
application (i501). SSA uses the information to determine if the
individual: (1) Filed the request within the prescribed time; (2) is
the proper party; and (3) took the steps necessary to obtain the right
to a hearing. SSA also uses the information to determine: (1) The
individual's reason(s) for disagreeing with SSA's prior determinations
in the case; (2) if the individual has additional evidence to submit;
(3) if the individual wants an oral hearing or a decision on the
record; and (4) whether the individual has (or wants to appoint) a
representative. The respondents are Social Security benefit applicants
and recipients who want to appeal SSA's denial of their request for new
or continued benefits, and Medicare Part B recipients who must pay the
Medicare Part B Income-Related Monthly Adjustment Amount.
Type of Request: Revision of an OMB-approved information
collection.
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Total
Number of Frequency of Average burden estimated
Modality of completion respondents response per response annual burden
(minutes) (hours)
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HA-501; Modernized Claims 25,953 1 10 4,326
System (MCS); Modernized
Supplemental Security
Income Claims System
(MSSICS)...................
i501 (Internet iAppeals).... 643,516 1 5 53,626
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Totals.................. 669,469 .............. .............. 57,952
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3. Request for Reconsideration--20 CFR 404.907-404.921, 416.1407-
416.1421, 408.1009, and 418.1325--0960-0622. Individuals use Form SSA-
561-U2, the associated MCS interview, or the Internet application
(i561) to initiate a request for reconsideration of a denied claim. SSA
uses the information to document the request and to determine an
individual's eligibility or entitlement to Social Security benefits
(Title II), SSI payments
[[Page 46295]]
(Title XVI), Special Veterans Benefits (Title VIII), Medicare (Title
XVIII), and for initial determinations regarding Medicare Part B
income-related premium subsidy reductions. The respondents are
individuals filing for reconsideration of a denied claim.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Total estimated
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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SSA-561 and Modernized Claims System (MCS) 550,370 1 8 73,383
i561 (Internet iAppeals).................. 911,330 1 5 75,944
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Totals................................ 1,461,700 .............. .............. 149,327
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Dated: August 4, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-18661 Filed 8-6-14; 8:45 am]
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