[Federal Register Volume 80, Number 186 (Friday, September 25, 2015)]
[Notices]
[Pages 57907-57910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-24302]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2015-0054]
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].
Or you may submit your comments online through www.regulations.gov,
referencing Docket ID Number [SSA-2015-0054].
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
November 24, 2015. Individuals can obtain copies of
[[Page 57908]]
the collection instruments by writing to the above email address.
1. Pre-1957 Military Service Federal Benefit Questionnaire--20 CFR
404.1301-404.1371--0960-0120. SSA may grant gratuitous military wage
credits for active military or naval service (under certain conditions)
during the period September 16, 1940 through December 31, 1956, if no
other Federal agency (other than the Veterans Administration) credited
the service for benefit eligibility or computation purposes. We use
Form SSA-2512 to collect specific information about other Federal,
military, or civilian benefits the wage earner may receive when the
applicant indicates both pre-1957 military service and the receipt of a
Federal benefit. SSA uses the data in the claims adjudication process
to grant gratuitous military wage credits when applicable, and to
solicit sufficient information to determine eligibility. Respondents
are applicants for Social Security benefits on a record where the wage
earner claims pre-1957 military service.
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)
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SSA-2512.................................... 5,000 1 10 833
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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 26, 2015. Individuals can obtain copies of the
OMB clearance packages by writing to [email protected].
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. Vocational Rehabilitation Provider Claim--20 CFR 404.2108(b),
404.2117(c)(1)&(2), 404.2101(b)&(c), 404.2121(a), 416.2208(b),
416.2217(c)(1) & (2), 416.2201(b)&(c), 416.2221(a)--0960-0310. State
vocational rehabilitation (VR) agencies submit Form SSA-199 to SSA to
obtain reimbursement of costs incurred for providing VR services. SSA
requires state VR agencies to submit reimbursement claims for the
following categories: (1) Claiming reimbursement for VR services
provided; (2) certifying adherence to cost containment policies and
procedures; and (3) preparing causality statements. The respondents
mail the paper copy of the SSA-199 to SSA for consideration and
approval of the claim for reimbursement of costs incurred for SSA
beneficiaries. For claims certifying adherence to cost containment
policies and procedures, or for preparing causality statements, State
VR agencies submit written requests as stipulated in SSA's regulations
within the Code of Federal Regulations. SSA uses the information on the
SSA-199, along with the written documentation, to determine whether,
and how much, to pay State VR agencies under SSA's VR program.
Respondents are Sate VR agencies offering vocational and employment
services to Social Security and Supplemental Security Income (SSI)
recipients.
Type of Request: Revision of an OMB-approved information
collection.
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Average Estimated
Modality of completion (type of Number of Frequency of (Number of burden per total annual
response as indicated below) respondents response responses) response burden
(minutes) (hours)
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SSA-199 CFR 404.2108 & 416.2208. 80 160 (12,800) 23 4,907
CFR 404.2117 & 416.2217 Written 80 1 (80) 60 80
requests.......................
CFR 404.2121 & 416.2221 Written 80 2.5 (200) 100 333
requests.......................
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Totals...................... 80 .............. (13,080) .............. 5,320
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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
[[Page 57909]]
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 and a
password to conduct business with SSA. Respondents are employers and
third party submitters of wage data 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 Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
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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
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Totals...................................... 9,895,153 .............. .............. 366,478
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4. Site Review Questionnaire for Volume and Fee-for-Service Payees
and Beneficiary Interview Form--20 CFR 404.2035, 404.2065, 416.665,
416.701, and 416.708--0960-0633. SSA asks organizational representative
payees to complete Form SSA-637, the Site Review Questionnaire for
Volume and Fee-for-Service Payees, to provide information on how they
carry out their responsibilities, including how they manage beneficiary
funds. SSA then obtains information from the beneficiaries these
organizations represent via Form SSA-639, Beneficiary Interview Form,
to corroborate the payees' statements. Due to the sensitivity of the
information, SSA employees always complete the forms based on the
answers respondents give during the interview. The respondents are
individuals; State and local governments; non-profit and for-profit
organizations serving as representative payees; and the beneficiaries
they serve.
Type of Request: Revision of an OMB-approved information
collection.
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Average Estimated
Number of Frequency of burden per total annual
Modality of completion responses response response burden
(minutes) (hours)
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SSA-637......................................... 1,999 1 120 3,998
SSA-639......................................... 8,293 1 10 1,382
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Totals...................................... 10,292 .............. .............. 5,380
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5. 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.
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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
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6. Important Information About Your Appeal, Waiver Rights, and
Repayment Options--20 CFR 404.502-521--0960-0779. When SSA accidentally
overpays beneficiaries, the agency informs them of the following
rights: (1) The right to reconsideration of the overpayment
determination; (2) the right to request a waiver of recovery and the
automatic scheduling of a personal conference if SSA cannot approve a
request for waiver; and (3) the availability of a different rate of
withholding when SSA proposes the full withholding rate. SSA uses Form
SSA-3105, Important Information About Your Appeal, Waiver Rights, and
Repayment Options, to explain these rights to overpaid individuals and
allow them to notify SSA of their decision(s) regarding these rights.
The respondents are overpaid claimants requesting a waiver of recovery
for the overpayment; reconsideration of the fact of the overpayment; or
a lesser rate of withholding of the overpayment.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 57910]]
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Average burden Estimated total
Modality of collection Number of Frequency of per response annual burden
respondents response (minutes) (hours)
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SSA-3105.................................... 80,000 1 15 20,000
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Dated: Septebmer 21, 2015.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2015-24302 Filed 9-24-15; 8:45 am]
BILLING CODE 4191-02-P