[Federal Register Volume 67, Number 96 (Friday, May 17, 2002)]
[Notices]
[Pages 35176-35178]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-12365]


=======================================================================
-----------------------------------------------------------------------

SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed Request and 
Comment Request

    The Social Security Administration (SSA) publishes a list of 
information collection packages that will require clearance by the 
Office of Management and Budget (OMB) in compliance with Pub. L. 104-13 
effective October 1, 1995, The Paperwork Reduction Act of 1995. 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 on ways to minimize burden on 
respondents, including the use of automated collection techniques or 
other forms of information technology.
    Written comments and recommendations regarding the information 
collection(s) should be submitted to the OMB Desk Officer and the SSA 
Reports Clearance Officer and at the following addresses:

(OMB), Office of Management and Budget, Attn: Desk Officer for SSA, 
NewExecutive Office Building, Room 10235, 725 17th St., NW., 
Washington, DC 20503.
(SSA), Social Security Administration, DCFAM, Attn: Reports Clearance 
Officer, 1-A-21 Operations Bldg., 6401 Security Blvd., Baltimore, MD 
21235.

    I. The information collections listed below will be submitted to 
OMB within 60 days from the date of this notice. Therefore, your 
comments should be submitted to SSA within 60 days from the date of 
this publication. You can obtain copies of the collection instruments 
by calling the SSA Reports Clearance Officer at 410-965-0454, or by 
writing to the address listed above.

1. Letter to Landlord Requesting Rental Information--0960-0454

    Form SSA-L5061 is used by SSA to provide a nationally uniform 
vehicle for collecting information from landlords in making a rental 
subsidy determination in the Supplemental Security Income (SSI) 
Program. The information is used in deciding whether income limits are 
met for SSI eligibility. The respondents are landlords who provide 
subsidized rental arrangements to SSI applicants and recipients.
    Number of Respondents: 49,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Average Burden: 8,167.

2. Continuation of Full Benefit Standard for Persons Institutionalized-
-0960-0516

    SSA is required by law to establish procedures for collecting 
information on whether an SSI recipient who becomes institutionalized 
(e.g., hospital, nursing home) may be eligible for continued benefits, 
based on the full federal benefit rate, if a physician certifies that 
he expects the period of medical confinement will last no more than 90 
days. The individual (or someone acting on his behalf) must demonstrate 
that he needs to pay some or all of the expenses of maintaining the 
home to which he expects to return. The respondents are applicants for 
SSI benefits.
    Number of Respondents: 60,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 5,000 hours.

[[Page 35177]]

3. Inquiry To File an SSI Child's Application--0960-0557

    The information collected on Form SSRO-3-293 (formerly SSA-293) is 
used by SSA to document the earliest possible filing date and to 
determine potential eligibility for SSI child's benefits. The 
respondents are individuals, such as hospital social workers, who 
inquire about SSI eligibility for low birth weight babies.
    Number of Respondents: 2,100.
    Frequency of Response: 1.
    Average Burden Per Response: 3 minutes.
    Estimated Average Burden: 105 hours.

4. Supplemental Security Income Notice of Interim Assistance 
Reimbursement (two forms)--0960-0546

    Form SSA-8125 and SSA-L8125-F6 collect interim assistance 
reimbursement (IAR) information from the States that provide such 
assistance. Form SSA-8125 is used in situations where IAR can be 
distributed directly to the recipient after the State has deducted the 
amount of assistance it provided. Form SSA-L8125-F6 is used in 
situations where a recipient entitled to underpayments has received IAR 
from a State and SSA will control the benefit through the installment 
process. SSA uses the information collected through these forms for 
accounting and auditing purposes in administering the IAR process. The 
respondents are States that provide IAR to SSI claimants.

------------------------------------------------------------------------
                                    SSA-8125            SSA-L8125-F6
------------------------------------------------------------------------
Number of Respondents.......  50,000..............  50,000.
Frequency of Response.......  1...................  1.
Average Burden Per Response.  10 minutes..........  10 minutes.
Estimated Annual Burden.....  8,333 hours.........  8,333 hours.
------------------------------------------------------------------------

5. National Employment Activity and Disability Survey --0960-NEW

Background

    The Ticket to Work program (TTW) was established by the 1999 Ticket 
to Work and Work Incentives Improvement Act. The program will provide 
eligible Social Security Disability Insurance (SSDI) and Supplemental 
Security Income (SSI) disability beneficiaries with a Ticket, which can 
be used to obtain vocational rehabilitation (VR) or employment services 
through participating providers, called Employment Networks (ENs).
    The reason for the TTW program is that some beneficiaries currently 
lack the resources necessary to return to work at a level above the 
Substantial Gainful Activity (SGA) level, either because they do not 
have easy access to such services, or because they lack the incentive 
to invest resources in return to work activities because of a variety 
of factors affecting the decision to work. TTW confers upon a 
beneficiary a means to access those resources in a less restrictive 
manner than under the traditional program. The manner in which the 
program is being implemented is expected to increase beneficiary demand 
for employment-related services and activities. It is also expected to 
increase the number and diversity of providers in response to the less 
restrictive participation requirements and increased consumer demand 
for services.

The National Employment Activity and Disability Survey

    The National Employment Activity and Disability Survey will collect 
data on the work-related activities of SSI and Old Age, Survivors and 
Disability Insurance (OASDI) beneficiaries as the TTW program, and 
other initiatives designed to improve beneficiary employment outcomes, 
are implemented. The TTW Survey is specifically designed to be a 
significant resource for the formal evaluation of TTW, but SSA 
anticipates that the survey will provide useful information for a 
variety of evaluation and policy analysis purposes, especially related 
to current efforts that attempt to improve return to work. The survey 
questionnaire focuses on information about beneficiaries and their 
work-related activities that cannot be obtained from SSA's 
administrative records. The survey will provide information about: (1) 
Beneficiaries who assign their Tickets to ENs, and their experience in 
the program; (2) beneficiaries who do not assign their Tickets, and the 
reasons why they do not, including involuntary non-participants; (3) 
the employment outcomes of Ticket users and other beneficiaries; and 
(4) the use of employment services by Ticket users and other 
beneficiaries. The respondents will be selected from SSI and OASDI 
disabled beneficiaries who meet the Ticket to Work program eligibility 
requirements.
    Number of Respondents: 6,557.
    Frequency of Response: 1.
    Average Burden Per Response: 45 minutes.
    Estimated annual Burden: 4,918 hours.

6. Public Information Campaign Collections--0960-0544

    SSA uses the information from public broadcasting systems to 
determine media interest in broadcasting SSA's public information 
materials. The respondents are radio and television stations.
    Number of Respondents: 8,000.
    Frequency of Response: 3.
    Average Burden Per Response: 1 minute.
    Estimated Annual Burden: 400.

7. State Mental Institution Policy Review--0960-0110

    SSA uses the information collected on Form SSA-9584 to determine 
whether policies and practices of State mental institutions conform 
with SSA's regulations in the use of benefits and whether an 
institution is performing other duties and responsibilities required of 
a representative payee. The information also provides a basis for 
conducting an onsite review of the institution and is used in preparing 
the subsequent report of findings. The respondents are State mental 
institutions that serve as representative payees.
    Number of Respondents: 125.
    Frequency of Response: 1.
    Average Burden Per Response: 60 minutes.
    Estimated Annual Burden: 125 hours.

8. Record Of Supplemental Security Income Inquiry--0960-0140

    Form SSA-3462 is completed by SSA personnel via telephone or 
personal interview, and it is used to determine potential eligibility 
for SSI benefits. The respondents are individuals who inquire about SSI 
eligibility for themselves or someone else.
    Number of Respondents: 2,341,856.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 195,155 hours.
    II. The information collections listed below have been submitted to 
OMB for clearance. Your comments on the information collections would 
be most

[[Page 35178]]

useful if received by OMB and SSA within 30 days from the date of this 
publication. You can obtain a copy of the OMB clearance package by 
calling the SSA Reports Clearance Officer on (410) 965-0454, or by 
writing to the address listed above.

1. Internet Social Security Disability Report--0960-NEW

    The Social Security Act requires applicants to furnish medical and 
other evidence and information to prove they are disabled. Applicants 
for disability benefits will be given the option to provide information 
needed to help determine they are disabled through the Internet. The 
Internet Social Security Disability Report, which is similar to the 
Form SSA-3368-BK, Disability Report-Adult, will collect allegations of 
disability and gather information about the disabling condition and 
sources of medical evidence. Collecting this information is critical to 
case development and adjudication. The information on the Disability 
Report, together with other evidence and information, will be used by 
State Disability Determination Services (who make disability decisions 
on behalf of SSA) to develop medical evidence, assess the alleged 
disability, and make a determination on whether or not the applicant is 
disabled under the Act. SSA plans to conduct a limited pilot of the 
Internet Social Security Disability Report followed by national 
implementation. The respondents are applicants for title II and title 
XVI disability benefits.

Pilot Burden Hours Estimate

    Number of Respondents: 8,400.
    Frequency of Response: 1.
    Average Burden Per Response: 2 hours.
    Estimated annual Burden: 16,800 hours.

National Implementation Burden Hours Estimate

    Number of Respondents: 66,000.
    Frequency of Response: 1.
    Average Burden Per Response: 2 hours.
    Estimated annual Burden: 132,000 hours.

2. Employee Work Activity Report--0960-0483

    The data collected by SSA on Form SSA-3033 is used to determine if 
the claimant meets the disability requirements of the law, when the 
claimant returns to work after the alleged or established onset date of 
disability. When a possible unsuccessful work attempt or nonspecific 
subsidy is involved, Form SSA-3033 will be used to request a 
description of the employee's work effort. The respondents are 
employers of OASDI and SSI disability applicants and beneficiaries.
    Number of Respondents: 12,500.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 3,125 hours.

    Dated: May 13, 2002.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 02-12365 Filed 5-16-02; 8:45 am]
BILLING CODE 4191-02-P