[Federal Register Volume 80, Number 145 (Wednesday, July 29, 2015)]
[Notices]
[Pages 45265-45267]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-18558]


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SOCIAL SECURITY ADMINISTRATION

[Docket No: SSA-2015-0048]


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, extensions, and one reinstatement without change 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].

    Or you may submit your comments online through www.regulations.gov, 
referencing Docket ID Number [SSA-2015-0048].
    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 28, 2015. Individuals can obtain copies of the collection 
instruments by writing to the above email address.
    1. Certificate of Support--20 CFR 404.370, 404.750, 404.408a--0960-
0001. A parent of a deceased, fully insured worker may be entitled to 
Social Security Old-Age, Survivors, and Disability Insurance (OASDI) 
benefits based on the earnings record of the deceased worker under 
certain conditions. One of the conditions is the parent must have 
received at least one-half support from the deceased worker. The one-
half support requirement also applies to a spousal applicant in 
determining whether OASDI benefits are subject to Government Pension 
Offset (GPO). SSA uses the information from Form SSA-760-F4 to 
determine if the parent of a deceased worker or a spouse applicant 
meets the one-half support requirement. Respondents are (1) parents of 
deceased workers and (2) spouses who may meet the GPO exception.
    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)
----------------------------------------------------------------------------------------------------------------
SSA-760-F4..................................          18,000                1               15            4,500
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    2. Statement of Household Expenses and Contributions--20 CFR 
416.1130-416.1148--0960-0456. SSA bases eligibility for Supplemental 
Security Income (SSI) on the needs of the recipient. In part, we assess 
need by determining the amount of income a recipient receives. This 
income includes in-kind support and maintenance in the form of food and 
shelter provided by others. SSA uses Form SSA-8011-F3, to determine 
whether the claimant or recipient receives in-kind support and 
maintenance. This is necessary to determine (1) the claimant or 
recipient's eligibility for SSI and (2) the SSI payment amount. SSA 
only uses this form in cases where SSA needs the householder's (head of 
household) corroboration of in-kind support and maintenance. 
Respondents are householders of homes in which an SSI applicant or 
recipient resides.
    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)
----------------------------------------------------------------------------------------------------------------
SSA-8011-F3.................................         417,025                1               15          104,256
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    3. Integrated Registration Services (IRES) System--20 CFR 401.45--
0960-0626. The IRES System verifies the identity of individuals, 
businesses, organizations, entities, and government agencies seeking to 
use SSA's eService Internet and telephone applications. Individuals 
need this verification to electronically request and exchange business 
data with SSA. Requestors provide SSA with the information needed to 
establish their identities. Once SSA verifies identity, the IRES system 
issues the requestor a user identification number (User ID) and a 
password to conduct business with SSA. Respondents are employers and 
third party submitters of wage data,

[[Page 45266]]

business entities providing taxpayer identification information, and 
data exchange partners conducting business in support of SSA programs.
    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)
----------------------------------------------------------------------------------------------------------------
IRES Internet Registrations.....................         662,102               1               5          55,175
IRES Internet Requestors........................       9,209,489               1               2         306,983
IRES CS (CSA) Registrations.....................          23,562               1              11           4,320
                                                 ---------------------------------------------------------------
    Totals......................................       9,895,153  ..............  ..............         366,478
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    4. Request for Reinstatement (Title II)--20 CFR 404.1592b-
404.1592f--0960-0742. SSA allows certain previously entitled disability 
beneficiaries to request expedited reinstatement (EXR) of benefits 
under Title II of the Social Security Act when their medical condition 
no longer permits them to perform substantial gainful activity. SSA 
uses Form SSA-371 to obtain: (1) A signed statement from individuals 
requesting an EXR of their Title II disability benefits, and (2) proof 
the requestors meet the EXR requirements. SSA maintains the form in the 
disability folder of the applicant to demonstrate the requestors' 
awareness of the EXR requirements, and their choice to request EXR. 
Respondents are applicants for EXR of Title II disability benefits.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                Average  burden  Estimated total
           Modality of completion                Number of       Frequency of    per  response    annual burden
                                                respondents        response        (minutes)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-371.....................................          10,000                1                2              333
----------------------------------------------------------------------------------------------------------------

    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 August 28, 2015. Individuals can obtain copies of the OMB 
clearance packages by writing to [email protected].
    1. Coverage of Employees of State and Local Governments--20 CFR 
404, Subpart M--0960-0425. The Code of Federal Regulations at 20 CFR 
404, Subpart M, prescribes the rules for states submitting reports of 
deposits and recordkeeping to SSA. SSA requires states (and interstate 
instrumentalities) to provide wage and deposit contribution information 
for pre-1987 periods. Not all states have completely satisfied their 
pending wage report and contribution liability with SSA for pre-1987 
tax years. SSA needs these regulations until we close out all pending 
items with all states, and provide for collection of this information 
in the future, if necessary. The respondents are State and local 
governments or interstate instrumentalities.
    Type of Request: Reinstatement without change of a previously 
approved collection.

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                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
               Regulation section                   respondents      response        response      total annual
                                                                                     (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
404.1204(a) & (b)...............................              52               1              30              26
404.1215........................................              52               1              60              52
404.1216(a) & (b)...............................              52               1              60              52
                                                 ---------------------------------------------------------------
    Total.......................................             156  ..............  ..............             130
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    2. Function Report Adult-Third Party--20 CFR 404.1512 & 416.912--
0960-0635. Individuals receiving or applying for Social Security 
Disability Insurance (SSDI) or SSI provide SSA with medical evidence 
and other proof SSA requires to prove their disability. SSA, and 
Disability Determination Services on our behalf, collect this 
information using Form SSA-3380-BK. We use the information to document 
how claimant's disabilities affect their ability to function, and to 
determine eligibility for SSI and SSDI claims. The respondents are 
third parties familiar with the functional limitations (or lack 
thereof) of claimants who apply for SSI and SSDI benefits.
    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)
----------------------------------------------------------------------------------------------------------------
SSA-3380-BK.................................         780,000                1               61          793,000
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[[Page 45267]]

    Dated: July 24, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-18558 Filed 7-28-15; 8:45 am]
BILLING CODE 4191-02-P