[Federal Register Volume 67, Number 137 (Wednesday, July 17, 2002)]
[Notices]
[Pages 47018-47020]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-18140]
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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 that will require clearance by the
Office of Management and Budget (OMB) in compliance with P.L. 104-13
effective October 1, 1995, The Paperwork Reduction Act of 1995. The
information collection packages that may be included in this notice are
for new information collections, revisions to OMB-approved information
collections and extensions (no change) 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 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
at the following addresses: (OMB) Office of Management and Budget,
Attn: Desk Officer for SSA, New Executive 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. State Contribution Return--0960-0041
Form SSA-3961 is used by the Social Security Administration (SSA)
to identify and account for all contributions due and paid under
section 218 of the Social Security Act. The respondents are State
Social Security agencies (one agency in each state, Puerto Rico, and
the Virgin Islands) and each of approximately 65 interstate
instrumentalities.
Type of Request: Extension of an OMB-Approved Information
Collection.
Number of Respondents: 117.
Frequency of Response: 8.5.
Average Burden Per Response: 3 minutes.
Estimated Annual Burden: 50 hours.
2. Report on Individual with Mental Impairment--0960-0058
Form SSA-824 is used by the Social Security Administration to
determine the claimant's medical status prior to making a disability
determination. The respondents are physicians, medical directors,
medical record librarians and other health professionals.
Type of Request: Extension of an OMB-Approved Information
Collection.
Number of Respondents: 50,000.
Frequency of Response: 1.
Average Burden Per Response: 36 minutes.
Estimated Annual Burden: 30,000 hours.
3. Missing and Discrepant Wage Reports Letter and Questionnaires-0960-
0432
SSA uses the information on Forms SSA-L93, SSA-95 and SSA-97 to
secure the employer information missing from its records (or discrepant
with Internal Revenue Service (IRS) records) by contacting the involved
employers. When secured, SSA is able to properly post the employee's
earnings records. Compliance by employers with SSA requests facilitates
proper posting of employees' wage records. SSA makes two efforts to
obtain wage information from the employer before the case is turned
over to the IRS for penalty assessments. The respondents are employers
with missing or discrepant wage reports.
Type of Request: Extension of an OMB-Approved Information
Collection.
Number of Respondents: 360,000.
Frequency of Response: 1.
Average Burden Per Response: 30 minutes.
Estimated Annual Burden: 180,000 hours.
II. The information collections listed below have been submitted to
OMB for clearance. Your comments on the information collections would
be most 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. 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
the anticipated period of medical confinement will last no more than 90
days. The individual (or someone acting on his/her behalf) must
demonstrate that he/she needs to pay some or all of the expenses of
maintaining the home to which he/she expects to return. The
[[Page 47019]]
respondents are applicants for SSI benefits.
Type of Request: Extension of an OMB-Approved Information
Collection.
Number of Respondents: 60,000.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 5,000 hours.
2. 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 Supplemental Security Income (SSI)
child's benefits. The respondents are individuals, such as hospital
social workers, who inquire about SSI eligibility for low birth weight
babies.
Type of Request: Extension of an OMB-Approved Information
Collection.
Number of Respondents: 2,100.
Frequency of Response: 1.
Average Burden Per Response: 3 minutes.
Estimated Average Burden: 105 hours.
3. 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.
The respondents are States that provide IAR to SSI claimants.
Type of Request: Extension of an OMB-Approved Information
Collection.
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SSA-8125 SS-L8125-F6
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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.
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4. 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 form SSI and OASDI
disabled beneficiaries who meet the Ticket to Work program eligibility
requirements.
Type of Request: New OMB Information Collection.
Number of Respondents: 6,557.
Frequency of Response: 1.
Average Burden Per Response: 45 minutes.
Estimated annual Burden: 4,918 hours.
5. 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.
Type of Request: Extension of an OMB-Approved Information
Collection.
Number of Respondents: 2,341,856.
Frequency of Response: 1.
Average Burden Per Response: 5 minutes.
Estimated Annual Burden: 195,155 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.
Type of Request: Revision of an OMB-approved Information
Collection.
Number of Respondents: 8,000.
Frequency of Response: 3.
Average Burden Per Response: 1 minute.
Estimated Annual Burden: 400.
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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.
Type of Request: Revision of an OMB-approved Information
Collection.
Number of Respondents: 125.
Frequency of Response: 1.
Average Burden Per Response: 60 minutes.
Estimated Annual Burden: 125 hours.
Dated: July 10, 2002.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. 02-18140 Filed 7-16-02; 8:45 am]
BILLING CODE 4191-02-P