[Federal Register Volume 72, Number 85 (Thursday, May 3, 2007)]
[Notices]
[Pages 24651-24652]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-8497]
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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 Public Law
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995.
The information collection packages that included in this notice are
for new information collections and revisions to existing 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. The information can be mailed, faxed or e-mailed to the
individuals at the addresses and fax numbers listed below:
(OMB), Office of Management and Budget, Attn: Desk Officer for SSA,
Fax: 202-395-6974, E-mail address: [email protected].
(SSA), Social Security Administration, DCFAM, Attn: Reports Clearance
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235,
Fax: 410-965-6400, E-mail address: [email protected].
I. The information collections listed below are pending at SSA and
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.
Electronic Records Express Third-Party Registration Form--0960-NEW.
ERE (Electronic Records Express) is an online system which enables
medical providers and various third parties to submit disability
claimant information electronically to SSA as part of the disability
application process. Third parties who wish to use this system must
complete a unique registration process so the Agency can ensure they
are authorized to access a claimant's electronic disability folder.
This ICR is
[[Page 24652]]
for the Third Party Registration Form. The respondents are third-party
representatives of disability applicants or recipients who want to use
ERE to electronically access beneficiary folders and submit information
to SSA.
Type of Request: New information collection.
Number of Respondents: 75,784.
Frequency of Response: 1.
Average Burden Per Response: 3 minutes.
Estimated Annual Burden: 3,789 hours.
II. The information collection listed below has been submitted to
OMB for clearance. Your comments on the information collection 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 at 410-965-0454, or by
writing to the address listed above.
Accelerated Benefits Demonstration Project--0960-NEW. The
Accelerated Benefits Demonstration Project is a multi-phase study
designed to assess whether providing new SSDI beneficiaries with health
benefits and employment supports will stabilize or improve their health
and help them return to work early. In this long-term study, new SSDI
disability recipients (i.e., those who have just begun receiving
benefits and who have at least 18 months remaining before they qualify
for Medicare) will be divided into three groups: (1) A control group
that will just receive their regular SSDI benefits; (2) a treatment
group that will receive immediate access to health care benefits; and
(3) a treatment group that will receive health care benefits and
additional care management, employment, and benefits services and
support. The study, which will be conducted for SSA by research
contractors and health care experts, will assess whether health
benefits alone or health benefits with additional support services
improve the health and employment outcomes of new SSDI beneficiaries.
The respondents are beneficiaries who have just begun receiving SSDI
disability benefits and are not yet eligible for Medicare health
benefits.
Type of Request: New information collection.
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2007 2008
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Baseline survey Baseline survey Early use
---------------------------------------------------------------- survey
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Screener Interviews Screener Interviews Interviews
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No. Respondents................. 9,669 540 26,143 1,460 480
Responses per Respondent........ 1 1 1 1 1
Minutes per Respondent.......... 10 40 10 10 30
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Total Respondent Burden 1,612 360 4,357 243 240
(Hours)....................
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Total Burden (Screener +
Interview)............. 1,972
4,600 240
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Note: Please note that since publication of the 60-day Federal
Register Notice (published on 1/8/07 at 72 FR 834), SSA has made
revisions to the study design of this project. These revisions
account for the above burden being different than the original
published burden.
Dated: April 30, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-8497 Filed 5-2-07; 8:45 am]
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