[Federal Register Volume 78, Number 104 (Thursday, May 30, 2013)]
[Notices]
[Pages 32527-32529]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-12808]
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SOCIAL SECURITY ADMINISTRATION
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 one extension 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, DCRDP, Attn: Reports Clearance
Director, 107 Altmeyer Building, 6401 Security Blvd., Baltimore, MD
21235, Fax: 410-966-2830, Email address: [email protected].
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 July
29, 2013. Individuals can obtain copies of the collection instruments
by writing to the above email address.
1. Application for Child's Insurance Benefits--20 CFR 404.350-
404.368, 404.603, & 416.350--0960-0010. Title II of the Social Security
Act (Act) provides for the payment of monthly benefits to children of
an insured retired, disabled, or deceased worker. Section 202(d) of the
Act discloses the conditions and requirements the applicant must meet
when filing an application. SSA uses the information on Form SSA-4-BK
to determine entitlement for children of living and deceased workers to
monthly Social Security payments. Respondents are guardians completing
the form on behalf of the children of living or deceased workers, or
the children of living or deceased workers.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 32528]]
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Estimated
Number of Frequency of Average burden total annual
Modality of completion respondents response per response burden
(minutes) (hours)
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Life Claims (paper)............................. 18,500 1 12 3,700
Life Claims (MCS)............................... 351,500 1 12 70,300
Life Claims--Signature Proxy.................... 351,500 1 11 64,442
Death Claims (paper)............................ 6,000 1 12 1,200
Death Claims (MCS).............................. 114,000 1 12 22,800
Death Claims--Signature Proxy................... 114,000 1 11 20,900
Totals...................................... 955,500 .............. .............. 183,342
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2. Application Status--20 CFR 401.45--0960-0763. Application Status
provides users with the capability to check the status of their pending
Social Security claims, either via the Internet or the National 800
Number Automated Telephone Service. Users need their Social Security
number and a confirmation number to access this information. The
Application Status shows users when SSA received the application, if we
requested additional documents (e.g., military discharge papers, W-2s,
birth records, etc.), and provides the address for the office
processing the application. Once SSA makes a decision on a claim, we
post a copy of the decision notice online for the user to view. There
are some exceptions to posting a copy online, such as disability denial
notices (even if filed electronically) or claims users did not file via
the Internet, as we may not have those notices available for online
review. Respondents are current Social Security claimants who wish to
check the status of their claims either through the Internet or the
National 800 Number.
Type of Request: Revision of an OMB-approved information
collection.
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Estimated
Number of Frequency of Average burden total annual
Modality of completion respondents response per response burden
(minutes) (hours)
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Automated Telephone Services.................... 498,477 1 2 16,616
Internet Services............................... 6,032,016 1 1 100,534
Totals...................................... 6,530,493 .............. .............. 117,150
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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 July 1, 2013. Individuals can obtain copies of the OMB
clearance packages by writing to [email protected].
1. Agency/Employer Government Pension Offset Questionnaire--20 CFR
404.408(a)--0960-0470. When an individual is concurrently receiving
Social Security spousal or surviving spousal benefits and a government
pension, the individual may have the amount of Social Security benefits
reduced by the government pension amount. This is the Government
Pension Offset (GPO). SSA uses Form SSA-L4163 to collect accurate
pension information from the Federal or State government agency paying
the pension for purposes of applying the pension offset provision. SSA
uses this form only when (1) the claimant does not have the
information; and (2) the pension-paying agency has not cooperated with
the claimant. Respondents are State government agencies that have
information SSA needs to determine if the GPO applies and the amount of
offset.
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 perresponse annual burden
respondents response (minutes) (hours)
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SSA-L4163................................... 1,000 1 3 50
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2. Function Report--Child: Birth to 1st Birthday (SSA-3375), Age 1
to 3rd Birthday (SSA-3376), Age 3 to 6th Birthday (SSA-3377), Age 6 to
12th Birthday, (SSA-3378), and Age 12 to 18th Birthday (SSA-3379)--20
CFR 416.912--0960-0542. SSA uses Forms SSA-3375-BK through SSA-3379-BK
in the disability determination process to request information from a
child's parent or guardian for children applying for Supplemental
Security Income (SSI). The five different versions of the form contain
questions about the child's day-to-day functioning appropriate to a
particular age group; thus, respondents use only one version of the
form for each child.
The adjudicative team (disability examiners and medical or
psychological consultants) of State disability determination services
offices collect the information on the appropriate version of this form
(in conjunction with medical and other evidence) to form a complete
picture of the children's ability to function and their impairment-
related limitations. The adjudicative team uses the completed profile
to determine whether each child's impairment(s) results in marked and
severe functional limitations and whether each child is disabled. The
respondents are parents and guardians of child applicants for SSI.
Type of Request: Revision of an OMB-approved information
collection.
[[Page 32529]]
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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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Function Report--Child: Birth to 1st 660,000 1 20 220,000
Birthday (SSA-3375), Age 1 to 3rd Birthday.
(SSA-3376), Age 3 to 6th Birthday...........
(SSA-3377), Age 6 to 12th Birthday,.........
(SSA-3378), and Age 12 to 18th Birthday.....
(SSA-3379)..................................
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3. Technical Updates to Applicability of the Supplemental Security
Income (SSI) Reduced Benefit Rate for Individuals Residing in Medical
Treatment Facilities--20 CFR 416.708(k)--0960-0758. Section
1611(e)(1)(A) of the Act states that residents of public institutions
are ineligible for SSI. However, sections 1611(e)(1)(B) and (G) list
certain exceptions to this provision making it necessary for SSA to
collect information about SSI recipients who enter or leave a medical
treatment facility or other public or private institution. SSA's
regulation 20 CFR 416.708(k) establishes the reporting guidelines
implementing this legislative requirement. SSA collects the information
to determine eligibility for SSI and the payment amount. The
respondents are SSI recipients who enter or leave an institution.
Type of Request: Extension 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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Technical Updates Statement................. 34,200 1 7 3,990
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Dated: May 24, 2013.
Faye Lipsky,
Reports Clearance Director, Social Security Administration.
[FR Doc. 2013-12808 Filed 5-29-13; 8:45 am]
BILLING CODE 4191-02-P