[Federal Register Volume 82, Number 122 (Tuesday, June 27, 2017)]
[Notices]
[Pages 29136-29140]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-13331]
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SOCIAL SECURITY ADMINISTRATION
[Docket No. SSA-2017-0033]
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 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-2017-0033].
[[Page 29137]]
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
August 28, 2017. Individuals can obtain copies of the collection
instruments by writing to the above email address.
1. 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 sources.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Radio Survey................................ 5,000 2 1 167
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2. Medical Permit Parking Application--41 CFR 102-71.20 and 102-
74.305--0960-0624. SSA employees and contractors with a qualifying
medical condition who park at SSA-owned and leased facilities may apply
to receive a medical parking permit. SSA uses three forms for this
program: (1) SSA-3192, the Application and Statement which an
individual completes when first applying for the medical parking space;
(2) SSA-3193, the Physician's Report, which the applicant's physician
completes to verify the medical condition; and (3) SSA-3194, Renewal
Certification, which medical parking permit holders complete to verify
their continued need for the permit. The respondents are SSA employees
and contractors seeking medical parking permits and their physicians.
Note: Because SSA employees are Federal workers exempt from the
requirements of the Paperwork Reduction Act, the burden below is
only for SSA contractors and physicians (of both SSA employees and
contractors).
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3192........................................ 390 1 30 195
SSA-3193........................................ 465 1 90 698
SSA-3194........................................ 82 1 5 7
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Totals...................................... 937 .............. .............. 900
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3. 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 per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
ERE--Third Parties.......................... 10,413 319 1 55,362
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4. Screen Pop--20 CFR 401.45--0960-0790. Section 205(a) of the
Social Security Act (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 speed up 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: Revision of an OMB-approved information
collection.
[[Page 29138]]
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Average burden Estimated total
Modality of completion Number of Frequency of per response annual burden
respondents response (minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Screen Pop.................................. 53,394,811 1 1 889,914
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5. Incoming and Outgoing Intergovernmental Personnel Act Assignment
Agreement--5 CFR 334--0960-0792. The Intergovernmental Personnel Act
(IPA) mobility program provides for the temporary assignment of
civilian personnel between the Federal Government and State and local
governments; colleges and universities; Indian tribal governments;
Federally-funded research and development centers; and other eligible
organizations. The Office of Personnel Management (OPM) created a
generic form, the OF-69, for agencies to use as a template when
collecting information for the IPA assignment. The OF-69 collects
specific information about the agreement including: (1) The enrolled
employee's name, Social Security number, job title, salary,
classification, and address; (2) the type of assignment; (3) the
reimbursement arrangement; and (4) an explanation as to how the
assignment benefits both SSA and the non-federal organization involved
in the exchange. OPM directs agencies to use their own forms for
recording these agreements. Accordingly, SSA modified the OF-69 to meet
our needs, creating the SSA-187 for incoming employees and the SSA-188
for outgoing employees. SSA collects information on the SSA-187 and
SSA-188 to document the IPA assignment and to act as an agreement
between the agencies. Respondents are personnel from State and local
governments; colleges and universities; Indian tribal governments;
Federally-funded research and development centers; and other eligible
organizations who participate in the IPA exchange with SSA.
Type of Request: Revision of an OMB-approved information
collection.
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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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Non-Federal employee............................ 10 1 30 5
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Non-Federal employer signers.................... 20 1 5 2
Totals...................................... 30 .............. .............. 7
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II. SSA submitted the information collections below to OMB for
clearance. Your comments regarding these 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 July 27, 2017. Individuals can obtain copies of the
OMB clearance packages by writing to [email protected].
1. Disability Report-Appeal--20 CFR 404.1512, 416.912, 404.916(c),
416.1416(c), 422.140, 404.1713, 416.1513, 404.1740(b)(4),
416.1540(b)(4), and 405 Subpart C--0960-0144. SSA requires disability
applicants who wish to appeal an unfavorable disability determination
to complete Form SSA-3441-BK; the associated Electronic Disability
Collect System (EDCS) interview; or the Internet application, i3441.
This allows claimants to disclose any changes to their disability, or
resources, which might influence SSA's unfavorable determination. We
may use the information to: (1) Reconsider and review an initial
disability determination; (2) review a continuing disability; and (3)
evaluate a request for a hearing. This information assists the State
Disability Determination Services (DDS) and administrative law judges
(ALJ) in preparing for the appeals and hearings, and in issuing a
determination or decision on an individual's entitlement (initial or
continuing) to disability benefits. In addition, the information we
collect on the SSA-3441-BK, or related modalities, facilitates SSA's
collection of medical information to support the applicant's request
for reconsideration; request for benefits cessation appeal; and request
for a hearing before an ALJ. Respondents are individuals who appeal
denial, reduction, or cessation of Social Security disability benefits
and Supplemental Security Income (SSI) payments; individuals who wish
to request a hearing before an ALJ; or their representatives.
Type of Request: Revision of an OMB-approved information
collection.
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Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3441-BK..................................... 2,396 1 45 1,797
Electronic Disability Collect System (EDCS)..... 476,771 1 45 357,578
i3441 (Internet)................................ 1,046,938 1 28 488,571
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Totals...................................... 1,526,105 .............. .............. 847,946
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2. Disability Case Development Information Collections By State
Disability Determination Services On Behalf of SSA--20 CFR, subpart P,
404.1503a, 404.1512, 404.1513, 404.1514, 404.1517, 404.1519; 20 CFR
[[Page 29139]]
subpart Q, 404.1613, 404.1614, 404.1624; 20 CFR subpart I, 416.903a,
416.912, 416.913, 416.914, 416.917, 416.919 and 20 CFR subpart J,
416.1013, 416.1014, 416.1024--0960-0555. DDSs collect the information
necessary to administer the Social Security Disability Insurance and
SSI programs. They collect medical evidence from consultative
examination (CE) sources; credential information from CE source
applicants; and medical evidence of record (MER) from claimants'
medical sources. The DDSs collect information from claimants regarding
medical appointments, pain, symptoms, and impairments. The respondents
are medical providers, other sources of MER, and disability claimants.
Type of Request: Revision of an OMB-approved information
collection.
CE Collections
There are three CE information collections: (a) Medical evidence
about claimants' medical condition(s) that DDS's use to make disability
determinations when the claimant's own medical sources cannot or will
not provide the required information, and proof of credentials from CE
providers; (b) CE appointment letters; and (c) CE claimant reports sent
to claimants' doctors.
(A) Medical Evidence and Credentials From CE Providers
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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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CE Paper Submissions............................ 1,400,000 1 30 700,000
CE Electronic Submissions....................... 296,000 1 10 49,333
CE Credentials.................................. 4,000 1 15 1,000
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Totals...................................... 1,700,000 .............. .............. 750,333
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(B) CE Appointment Letters and (C) CE Claimants' Report to Medical Providers
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Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
(b) CE Appointment Letters...................... 880,000 1 5 73,333
(c) CE Claimants' Report to Medical Providers... 450,000 1 5 37,500
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Totals...................................... 1,330,000 .............. .............. 110,833
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MER Collections
The DDS's collect MER information from the claimant's medical
sources to determine a claimant's physical or mental status prior to
making a disability determination.
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Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
Paper Submissions............................... 3,150,000 1 20 1,050,000
Electronic Submissions.......................... 9,450,000 1 12 1,890,000
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Totals...................................... 12,600,000 .............. .............. 2,940,000
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Pain/Other Symptoms/Impairment Information From Claimants
The DDS's use information about pain/symptoms to determine how
pain/symptoms affect the claimant's ability to do work-related
activities prior to making a disability determination.
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Average burden Estimated
Modality of completion Number of Frequency of per response total annual
respondents response (minutes) burden (hours)
----------------------------------------------------------------------------------------------------------------
Pain/Other Symptoms/Impairment Information.. 2,100,000 1 20 700,000
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The total estimated annual burden for all categories described in
this information collection is 4,501,166 hours.
3. Authorization to Disclose Information to SSA--20 CFR 404.1512
and 416.912, 45 CFR 160 and 164--
[[Page 29140]]
0960-0623. Sections 223(d)(5)(A) and 1614(a)(3)(H)(i) of the Act
require claimants to provide medical and other evidence the
Commissioner of Social Security may require to prove they are disabled.
SSA must obtain sufficient evidence to make eligibility determinations
for Title II and Title XVI payments. Therefore, the applicant must
authorize release of information from various sources to SSA. The
applicants use Form SSA-827, or the Internet counterpart, i827, to
provide consent for the release of medical records, education records,
and other information related to their ability to perform tasks. Once
the applicant completes Form SSA-827, or the i827, SSA or the State DDS
sends the form to the designated source(s) to obtain pertinent records.
The respondents are applicants for Title II and Title XVI disability
payments.
Type of Request: Revision of an OMB-approved information
collection.
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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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i827 with electronic signature (eAuthorization). 4,189,270 1 9 628,391
SSA-827 with wet signature (paper version)...... 1,055,807 1 10 175,968
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Totals...................................... 5,245,077 .............. .............. 804,359
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Dated: June 21, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-13331 Filed 6-26-17; 8:45 am]
BILLING CODE 4191-02-P