[Federal Register Volume 79, Number 176 (Thursday, September 11, 2014)]
[Notices]
[Page 54341]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-21654]
=======================================================================
-----------------------------------------------------------------------
SOCIAL SECURITY ADMINISTRATION
Agency Information Collection Activities: Proposed 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 a revision of an OMB-approved information collection.
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].
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 November 10,
2014. Individuals can obtain copies of the collection instruments by
writing to the above email address.
Supplement to Claim of Person Outside the United States -20 CFR
422.505(b), 404.460, 404.463, and 42 CFR 407.27(c)--0960-0051
Claimants or beneficiaries (both United States (U.S.) citizens and
aliens entitled to benefits) living outside the United States complete
Form SSA-21 as a supplement to an application for benefits. SSA
collects the information to determine eligibility for U.S. Social
Security benefits for those months an alien beneficiary or claimant is
outside the United States, and to determine if tax withholding applies.
In addition, SSA uses the information to: (1) Allow beneficiaries or
claimants to request a special payment exception in an SSA restricted
country; (2) terminate supplemental medical insurance coverage for
recipients who request it, because they are, or will be, out of the
United States; and (3) allow claimants to collect a lump sum death
benefit if the number holder died outside the United States and we do
not have information to determine whether the lump sum death benefit is
payable under the Social Security Act. The respondents are Social
Security claimants, or individuals entitled to Social Security
benefits, who are, will be, or have been residing outside the United
States. for three months or longer. Type of Request: Revision of an
OMB-approved information collection.
----------------------------------------------------------------------------------------------------------------
Average
Number of Frequency of burden per Estimated
Modality of completion respondents response response total annual
(minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Paper SSA-21--U.S. Citizens..................... 3,297 1 9 495
Paper SSA-21--U.S. Resident..................... 521 1 15 130
MCS Macros SSA-21--U.S. Resident................ 1,844 1 11 338
Paper SSA-21--Resident of Tax Treaty Country.... 2,863 1 11 525
MCS Macros SSA-21--Resident of Tax Treaty 10,145 1 6 1,015
Country........................................
Paper SSA-21 -.................................. 1,995 1 10 333
Non-Resident Alien (not a resident of a tax
treaty country)................................
MCS Macros SSA-21--Non-Resident Alien (not a 7,071 1 5 589
resident of a tax treaty country)..............
Totals...................................... 27,736 .............. .............. 3,425
----------------------------------------------------------------------------------------------------------------
Dated: September 8, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-21654 Filed 9-10-14; 8:45 am]
BILLING CODE 4191-02-P