[Federal Register Volume 80, Number 129 (Tuesday, July 7, 2015)]
[Notices]
[Pages 38795-38796]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-16612]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2015-0043]
Agency Information Collection Activities: 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 one extension of OMB-approved
[[Page 38796]]
information collections, as well as one collection in use without an
OMB number.
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].
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2015-0043].
SSA submitted the information collection below to OMB for
clearance. Your comments regarding the information collection 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 August 6, 2015. Individuals can obtain copies of the OMB
clearance package by writing to [email protected].
1. Authorization for the Social Security Administration to Obtain
Personal Information--20 CFR 404.704; 404.820--404.823; 404.1926;
416.203; and 418.3001--0960--NEW. SSA requests respondents fill out
Form SSA-8510, allowing SSA to contact a public or private custodian of
records on behalf of an applicant or recipient of an SSA program to
request evidence information, which may support a benefit application
or payment continuation. We ask for evidence information such as the
following:
Age requirements (e.g. birth certificate, court documents)
Insured status (e.g. earnings, employer verification)
Marriage or divorce information
Pension offsets
Wages verification
Annuities
Property information
Benefit verification from a State agency or third party
Immigration status (rare instances)
Income verification from public agencies or private
individuals
Unemployment benefits
Insurance policies
If the custodian requires a signed authorization from the
individual(s) whose information SSA requests, SSA may provide the
custodian with a copy of the SSA-8510. Once the respondent completes
the SSA-8510, either using the paper form, or using the Modernized
Supplemental Security Income Claims System (MSSICS) version, SSA uses
the form as the authorization to obtain personal information regarding
the respondent from third parties until the authorizing person
(respondent) revokes the permission of its usage. The collection is
voluntary; however, failure to verify the individuals' eligibility can
prevent SSA from making an accurate and timely decision for their
benefits. The respondents are individuals who may file for, or
currently receive, Social Security benefits, SSI payments, or Medicare
part D subsidies.
Type of Request: Information Collection in Use Without an OMB
Number.
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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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* SSA-8510--Medicare Subsidy Quality Review 3,500 1 5 292
(paper version)................................
SSA-8510--Title II and Title XVI general 19,800 1 5 1,650
evidence (paper version).......................
** SSA-8510--Title II and Title XVI general 140,145 1 5 11,679
evidence (MSSICS version)......................
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Totals...................................... 163,445 .............. .............. 13,621
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* Currently in use under OMB Number 0960-0707.
** New information collection, which SSA will implement upon OMB approval.
Dated: July 1, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-16612 Filed 7-6-15; 8:45 am]
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