[Federal Register Volume 72, Number 97 (Monday, May 21, 2007)]
[Notices]
[Pages 28543-28544]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-9726]


-----------------------------------------------------------------------

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, 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 emailed 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 collection listed below is 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 
instrument by calling the SSA Reports Clearance Officer at 410-965-0454 
or by writing to the address listed above.
    Medicare Quality Review Forms--20 CFR 418(b)(5)--0960-0707. The 
Social Security Administration (SSA) uses the Medicare Quality Review 
Forms collection to verify the information reported on Medicare Part D 
Subsidy applications (OMB No. 0960-0696) for a selected number of 
applicants. SSA is planning to expand the scope of this collection by 
conducting Quality Reviews with some current recipients of Medicare 
Part D subsidies who have recently undergone the redetermination 
process (OMB No. 0960-0723). This ICR is for two new appointment 
letters (forms SSA-9313 and SSA-9314) that such beneficiaries will 
complete to schedule an appointment for their Quality Review. The 
respondents are current recipients of Medicare Part D subsidies who 
have recently undergone a redetermination and who were selected for a 
Quality Review.
    Type of Request: Revision to an existing OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
              Form number and name                  respondents      response        response      annual burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-9301 (Medicare Subsidy Quality Review Case            10,000               1              35           5,833
 Analysis Questionnaire)........................
SSA-9302 (Notice of Quality Review                        10,000               1              15           2,500
 Acknowledgement Form for those with Phones)....
SSA-9303 (Notice of Quality Review                         1,000               1              15             250
 Acknowledgement Form for those without Phones).
SSA-9304 (Checklist of Required Information;
 burden accounted for with forms SSA-9302, SSA-
 9303)..........................................
SSA-9308 (Request for Information)..............          20,000               1              15           5,000
SSA-9310 (Request for Documents)................          10,000               1               5             833
SSA-9309 (Life Insurance Verification Form).....           8,000               1              15           2,000
SSA-8510 (Authorization to the Social Security            10,000               1               5             833
 Administration to Obtain Personal Information).
SSA-9313 (Notice of Appointment Quality Review             4,500               1              15           1,125
 Acknowledgement Form)*.........................
SSA-9314 (Notice of Quality Review                           500               1              15             125
 Acknowledgement Form (unknown phone numbers)*..
                                                 ---------------------------------------------------------------
    Total.......................................  ..............  ..............  ..............         18,499
----------------------------------------------------------------------------------------------------------------
* These are the two new forms being cleared in the current ICR for this collection.

    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

[[Page 28544]]

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.
    Electronic Records Express--0960--NEW. Electronic Records Express 
(ERE) is a new Internet-based platform which facilitates the electronic 
submission of medical and school records needed for the disability 
process. These records are currently mailed as hard paper copies to SSA 
and state Disability Determination Services (DDSs) under the aegis of 
OMB No. 0960-0555, the Clearance of Information Collections Conducted 
by State Disability Determination Services on Behalf of SSA. While SSA 
and the DDSs will continue to accept paper copies, ERE offers 
respondents the opportunity to submit these records electronically. The 
revised burden for the actual document submission will continue to be 
covered under 0960-0555; this new collection covers the ERE 
registration and user training process. The respondents are medical 
providers and school professionals who submit information to SSA on 
behalf of disability applicants or beneficiaries.
    Type of Request: New information collection.
    Number of Respondents: 20,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 1,667 hours.

    Dated: May 15, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-9726 Filed 5-18-07; 8:45 am]
BILLING CODE 4191-02-P