[Federal Register Volume 82, Number 127 (Wednesday, July 5, 2017)]
[Notices]
[Pages 31132-31134]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-14018]
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SOCIAL SECURITY ADMINISTRATION
[Docket No: SSA-2017-0035]
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
[[Page 31133]]
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-2017-0035].
I. The information collection below are 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
September 5, 2017. Individuals can obtain copies of the collection
instruments by writing to the above email address.
Help America Vote Act--0960-0706. House Rule 3295, the Help America
Vote Act of 2002, mandates that States verify the identities of newly
registered voters. When newly registered voters do not have driver's
licenses or State-issued ID cards, they must supply the last four
digits of their Social Security number to their local State election
agencies for verification. The election agencies forward this
information to their State Motor Vehicle Administration (MVA), and the
State MVA inputs the data into the American Association of MVAs, a
central consolidation system that routes the voter data to SSA's Help
America Vote Verification (HAVV) system. Once SSA's HAVV system
confirms the identity of the voter, the information returns along the
same route in reverse until it reaches the State election agency. The
respondents are the State MVAs seeking to confirm voter identities.
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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HAVV........................................ 4,938,093 1 2 164,603
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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 August 4, 2017. Individuals can obtain copies of the
OMB clearance packages by writing to [email protected].
1. Application for Benefits under a U.S. International Social
Security Agreement--20 CFR 404.1925--0960-0448. Section 233(a) of the
Social Security Act (Act) authorizes the President to broker
international Social Security agreements (Totalization Agreements)
between the United States and foreign countries. SSA collects
information using Form SSA-2490-BK to determine entitlement to Social
Security benefits from the United States, or from a country that enters
into a Totalization Agreement with the United States. The respondents
are individuals applying for Old Age Survivors and Disability Insurance
(OASDI) benefits from the United States or from a Totalization
Agreement country.
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-2490-BK (MCS)............................... 15,030 1 30 7,515
SSA-2490-BK (paper)............................. 2,120 1 30 1,060
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Totals...................................... 17,150 .............. .............. 8,575
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2. Medicare Part D Subsidies Regulations--20 CFR 418.3625(c),
418.3645, 418.3665(a), and 418.3670--0960-0702. The Medicare
Prescription Drug Improvement and Modernization Act (MMA) of 2003
established the Medicare Part D program for voluntary prescription drug
coverage of premium, deductible, and co-payment costs for certain low-
income individuals. The MMA also mandated the provision of subsidies
for those individuals who qualify for the program and who meet
eligibility criteria for help with premium, deductible, or co-payment
costs. This law requires SSA to make eligibility determinations, and to
provide a process for appealing SSA's determinations. Regulation
sections 418.3625(c), 418.3645, 418.3665(a), and 418.3670 contain
public reporting requirements pertaining to administrative review
hearings. Respondents are applicants for the Medicare Part D subsidies
who request an administrative review hearing.
Type of Request: Revision of an existing OMB-approved information
collection.
[[Page 31134]]
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Average Estimated
Number of Frequency of burden per total annual
Modality of completion respondents response response burden
(minutes) (hours)
----------------------------------------------------------------------------------------------------------------
418.3625(c)..................................... 140 1 5 12
418.3645........................................ 10 1 10 2
418.3665(a)..................................... 275 1 5 23
418.3670 *...................................... 0 1 10 0
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Total....................................... 425 .............. .............. 37
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* Regulation section 418.3670 could be used at any time; however, we currently have no data showing usage over
the past three years.
3. Request for Evidence from Doctor and Request for Evidence from
Hospital--20 CFR 404 Subpart P and 20 CFR 416 Subpart I--0960-0722.
Sections 223(d)(5) and 1614(a)(3)(H)(i) of the Act require claimants to
furnish medical evidence of their disability when filing a disability
claim. SSA uses Forms HA-66 and HA-67 to request evidence from medical
sources, which claimants identify as having information relative to
their impairments, or ability to do work-related activities. In
addition to accepting manual paper responses, SSA sends a barcode with
the HA-66 and HA-67, allowing respondents to fax the information
directly into the electronic claims folder rather than submitting it
manually. SSA uses the information to determine eligibility for
benefits, and to pay medical sources for furnishing the information.
The respondents are medical sources, doctors, and hospitals that
evaluate the claimants.
This is a correction notice: when we published the first Federal
Register Notice on February 28, 2017 at 82 FR 12159, it did not include
the accurate number of responses. We are correcting this by publishing
the number of responses in a separate column in the chart below.
Type of Request: Revision of an OMB-approved information
collection.
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Average Estimated
Number of Frequency of Number of burden per total annual
Modality of completion respondents response responses response burden
(minutes) (hours)
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HA-66--Paper Version............ 3,060 22 67,320 15 16,830
HA-66--Electronic Version....... 8,940 22 196,680 15 49,170
HA-67--Paper Version............ 3,060 22 67,320 15 16,830
HA-67--Electronic Version....... 8,940 22 196,680 15 49,170
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Totals...................... 24,000 .............. 528,000 .............. 132,000
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Dated: June 28, 2017.
Naomi R. Sipple,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 2017-14018 Filed 7-3-17; 8:45 am]
BILLING CODE 4191-02-P