[Federal Register Volume 79, Number 187 (Friday, September 26, 2014)]
[Notices]
[Pages 58022-58024]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-22923]
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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 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 25, 2014. Individuals can obtain copies of the collection
instruments by writing to the above email address.
Request to Show Cause for Failure to Appear--20 CFR 404.938, 20 CFR
416.1438, and 20 CFR 404.957(a)(ii)--0960-0794. When claimants who
requested a hearing before an administrative law judge (ALJ) fail to
appear at their scheduled hearing, the ALJ may reschedule the hearing
if the claimants establish good cause for missing the hearings. To
establish good cause, claimants must show one of the following: (1) SSA
did not properly notify the claimant of the hearing, or (2) an
unexpected event occurred without sufficient time for the claimant to
request a postponement. The claimants can use paper Form HA-L90 to
provide their reason for not appearing at their scheduled hearings, or
the claimants' representatives can use Electronic Records Express to
submit the HA-L90 online. If the ALJ determines the claimants
established good cause for failure to appear at the hearing, the ALJ
will schedule a supplemental hearing; if not, the ALJ will make a
claims eligibility determination based on the claimants' evidence of
record. Respondents are claimants, or their representatives, seeking to
establish good cause for failure to appear at a scheduled hearing
before an ALJ.
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
responses response (minutes) (hours)
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HA-L90 (paper or Electronic Records Express) 40,000 1 10 6,667
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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 October 27, 2014. Individuals can obtain copies of the
OMB clearance packages by writing to [email protected].
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Average burden
Modality of completion Number of Frequency of per response Estimated total
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Television.................................. 1,000 2 1 33
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1. Application for Search of Census Records for Proof of Age--20
CFR 404.716--0960-0097. When preferred evidence of age is not
available, or the available evidence is not convincing, SSA may ask the
U.S. Department of Commerce, Bureau of the Census, to search its
records to establish a claimant's date of birth. SSA collects
information from claimants using Form SSA-1535-U3 to provide the Census
Bureau with sufficient identification information to allow an accurate
search of census records. Additionally, the Census Bureau uses a
completed, signed SSA-1535-U3 to bill SSA for the search. The
respondents are applicants for Social Security benefits who need to
establish their date of birth as a factor of entitlement.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 58023]]
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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-1535-U3................................. 18,030 1 12 3,606
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2. Public Information Campaign--0960-0544. Periodically, SSA sends
various public information materials, including public service
announcements, news releases, and educational tapes, to public
broadcasting systems so they can inform the public about various
programs and activities SSA conducts. SSA frequently sends follow-up
business reply cards for these public information materials to obtain
suggestions for improving them. The respondents are broadcast
television sources.
Type of Request: Extension of an OMB-approved information
collection.
3. Medicare Subsidy Quality Review Forms--20 CFR 418(b)(5)--0960-
0707. The Medicare Modernization Act of 2003 mandated the creation of
the Medicare Part D prescription drug coverage program and provides
certain subsidies for eligible Medicare beneficiaries to help pay for
the cost of prescription drugs. As part of its stewardship duties of
the Medicare Part D subsidy program, SSA must periodic quality review
checks of the information Medicare beneficiaries report on their
subsidy applications (Form SSA-1020). SSA uses the Medicare Quality
Review program to conduct these checks. The respondents are applicants
for the Medicare Part D subsidy whom SSA chose to undergo a quality
review.
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-9301 (Medicare Subsidy Quality Review Case 3,500 1 30 1,750
Analysis Questionnaire)........................
SSA-9302 (Notice of Quality Review 3,500 1 15 875
Acknowledgement Form for those with Phones)....
SSA-9303 (Notice of Quality Review 350 1 15 88
Acknowledgement Form for those without Phones).
SSA-9304 (Checklist of Required Information; .............. .............. .............. ..............
burden accounted for with forms SSA-9302, SSA-
9303, SSA-9311, SSA-9314)......................
SSA-9308 (Request for Information).............. 7,000 1 15 1,750
SSA-9310 (Request for Documents)................ 3,500 1 5 292
SSA-9311 (Notice of Appointment--Denial-- 450 1 15 113
Reviewer Will Call)............................
SSA-9312 (Notice of Appointment--Denial--Please 50 1 15 13
Call Reviewer).................................
SSA-9313 (Notice of Quality Review 2,500 1 15 625
Acknowledgement Form for those with Phones)....
SSA-9314 (Notice of Quality Review 500 1 15 125
Acknowledgement Form for those without Phones).
SSA-8510 (Authorization to the Social Security 3,500 1 5 292
Administration to Obtain Personal Information).
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Totals...................................... 24,850 .............. .............. 5,923
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4. Application to Collect a Fee for Payee Service--20 CFR
416.640.640(a), 416.1103(f)--0960-0719. Sections 205(j)(4)(A) and (B)
and 1631(a)(2) of the Social Security Act (Act) allow SSA to authorize
certain organizational representative payees to collect a fee for
providing payee services. Before an organization may collect this fee,
they complete and submit Form SSA-445. SSA uses the information to
determine whether to authorize or deny permission to collect fees for
payee services. The respondents are private sector businesses or State
and local government offices applying to become fee-for-service
organizational representative payees.
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 responses response response total annual
(minutes) burden (hours)
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Private sector business......................... 90 1 10 15
State/local government offices.................. 10 1 10 2
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Totals...................................... 100 .............. .............. 17
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5. Redetermination of Eligibility for Help with Medicare
Prescription Drug Plan Costs--0960-0723. As per the requirements of the
Medicare Modernization Act of 2003, SSA conducts low-income subsidy
eligibility redeterminations for Medicare beneficiaries who currently
receive the Medicare Part D subsidy and who meet certain criteria.
Respondents complete Form SSA-1026-REDE under the following
circumstances: (1) When individuals became entitled to the Medicare
Part D subsidy during the past 12 months; (2) if they were eligible for
[[Page 58024]]
the Part D subsidy for more than 12 months; or (3) if they reported a
change in income, resources, or household size. Part D beneficiaries
complete the SSA-1026-SCE when they need to report a potentially
subsidy-changing event, including the following: (1) Marriage, (2)
spousal separation, (3) divorce, (4) annulment of a marriage, (5)
spousal death, or (6) moving back in with one's spouse following a
separation. The respondents are current recipients of the Medicare Part
D low-income subsidy who will undergo an eligibility redetermination
for one of the reasons mentioned above.
Note: SSA incorrectly published this information collection as
a revision on July 23, 2014 at 79 FR 42863. As we are not making any
revisions to this collection; this is extension of an OMB-approved
information collection.
Type of Request: Extension 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-1026-OCR-MS-SCE............................. 9,176 1 18 2,753
SSA-1026-OCR-SM-REDE............................ 161,766 1 18 48,530
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Total....................................... 170,942 .............. .............. 51,283
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6. Electronic Records Express (Third Parties)--20 CFR 404.1700--
404.1715--0960-0767. Electronic Records Express (ERE) is an online
system which enables medical providers and various third party
representatives to download and submit disability claimant information
electronically to SSA as part of the disability application process. To
ensure only authorized people access ERE, SSA requires third parties to
complete a unique registration process if they wish to use this system.
This information collection request (ICR) includes the third-party
registration process; the burden for submitting evidence to SSA is part
of other, various ICRs. The respondents are third party representatives
of disability applicants or recipients who want to use ERE to
electronically access clients' disability files online and submit
information to SSA.
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 Number of per response annual burden
respondents response responses (minutes) (hours)
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ERE................................................................ 12,000 281 (3,372,000) 1 56,200
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7. Screen Pop--20 CFR 401.45--0960-0790. Section 205(a) of the Act
requires SSA to verify the identity of individuals who request a record
or information pertaining to themselves, and to establish procedures
for disclosing personal information. SSA established Screen Pop, an
automated telephone process, to increase speed of verification for such
individuals. Accessing Screen Pop, callers enter their Social Security
number (SSN) using their telephone keypad or speech technology prior to
speaking with a National 800 Number Network (N8NN) agent. The automated
Screen Pop application collects the SSN and routes it to the ``Start
New Call'' Customer Help and Information (CHIP) screen. Functionality
for the Screen Pop application ends once the SSN connects to the CHIP
screen and the SSN routes to the agent's screen. When the call connects
to the N8NN agent, the agent can use the SSN to access the caller's
record as needed. The respondents for this collection are individuals
who contact SSA's N8NN to speak with an agent.
Type of Request: Extension of an OMB-approved information
collection.
Note: SSA incorrectly published this information collection as
a revision on July 23, 2014, at 79 FR 42863. As we are not making
any revisions to this collection, this is an 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
responses response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Screen Pop.................................. 55,600,0000 1 1 926,667
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Dated: September 23, 2014.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2014-22923 Filed 9-25-14; 8:45 am]
BILLING CODE 4191-02-P