[Federal Register Volume 72, Number 141 (Tuesday, July 24, 2007)]
[Notices]
[Pages 40353-40355]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-14147]


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

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 may be included in this notice 
are for new information collections, approval of existing 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. 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, DCBFM, 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.
    1. Statement of Agricultural Employer (Year Prior to 1988; and 1988 
and later)--20 CFR 404.702, 404.802, 404.1056--0960-0036. The 
information from forms SSA-1002-F3 and SSA-1003-F3 is used by SSA to 
resolve discrepancies when farm workers allege their employers did not 
report their wages, or reported the wages incorrectly. If an 
agricultural employer has incorrectly reported wages, or failed to 
report any wages for an employee, SSA must attempt to correct its 
records by contacting the employer to obtain convincing evidence of the 
wages paid. The respondents are agricultural employers having knowledge 
of wages paid to agricultural employees.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 125,000.
    Estimated Annual Burden: 62,500 hours.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
                   Form number                      respondents      response        response         burden
                                                                                     (minutes)
----------------------------------------------------------------------------------------------------------------
SSA-1002........................................          75,000               1              30          37,500
SSA-1003........................................          50,000               1              30          25,000
                                                 ---------------------------------------------------------------
    Total.......................................         125,000  ..............  ..............          62,500
----------------------------------------------------------------------------------------------------------------

    2. Medical Report (General)--20 CFR 404.1512-404.1515, 416.912-
416.915--0960-0052. SSA, through its agents, the disability 
determination services, uses form SSA-3826-F4 to collect medical 
information needed to make disability determinations. The information 
is used in determining the claimant's physical and mental status prior 
to making a disability determination, and to document the disability 
claims folder with the medical evidence. Thus, it provides disability 
adjudicators and reviewers with a narrative record and history of the 
alleged disability and with the objective medical findings necessary to 
make a disability determination. SSA uses the medical evidence provided 
on this form in making a determination of whether an individual's 
impairment meets the severity and duration requirements required for 
disability benefits. The respondents are members of the medical 
community including individual and hospital physicians, medical records 
librarians, and other medical sources.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 150,000.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 75,000 hours.
    3. Request for Correction of Earnings Record--20 CFR 404.820 and 
422.125-0960-0029. Form SSA-7008 is used by individual wage earners to 
request SSA review and, if necessary, correct its master record of 
their earnings. The respondents are individuals who question SSA's 
record of their earnings.
    Type of Request: Extension of an OMB-approved information 
collection.

[[Page 40354]]

    Number of Respondents: 375,000.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 62,500 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 
packages by calling the SSA Reports Clearance Officer at 410-965-0454, 
or by writing to the address listed above.
    1. Statement for Determining Continuing Eligibility for 
Supplemental Security Income Payments--Adult, Form SSA-3988; Statement 
for Determining Continuing Eligibility for Supplemental Security Income 
Payments--Child, Form SSA-3989--20 CFR Subpart B--416.204--0960-0643. 
Forms SSA-3988 and SSA-3989 will be used to determine whether 
Supplemental Security Income (SSI) recipients have met and continue to 
meet all statutory and regulatory non-medical requirements for SSI 
eligibility, and whether they have been and are still receiving the 
correct payment amount. The SSA-3988 and SSA-3989 are designed as self-
help forms that will be mailed to recipients or to their representative 
payees for completion and return to SSA. The respondents are recipients 
of SSI payments or their representatives.
    Type of Request: Revision to an existing OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
              Collection instrument                 respondents      response        response      annual burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3988........................................          30,000               1              26          13,000
SSA-3989........................................          30,000               1              26          13,000
                                                 ---------------------------------------------------------------
    Totals......................................          60,000  ..............  ..............          26,000
----------------------------------------------------------------------------------------------------------------

    2. eData Registration/Account Modification--20 CFR 401.45--0960-
NEW.

Collection Background

    Section 5 U.S.C. 552a, (e) (10) of the Privacy Act of 1974 requires 
agencies to establish appropriate administrative, technical, and 
physical safeguards to ensure the security and confidentiality of 
records. Also, Section (f) (2) & (3) requires agencies to establish 
requirements for identifying an individual who requests a record or 
information pertaining to that individual and to establish procedures 
for disclosure of personal information. SSA promulgated Privacy Act 
rules in the Code of Federal Regulations, Subpart B. Procedures for 
verifying identity are at 20 CFR 401.45.

Collection Description

    The eData Services Web site allows various external organizations 
to submit files to a variety of SSA systems and in some cases receive 
return files. The users include state/local government agencies, other 
federal agencies, and some nongovernmental business entities. The SSA 
systems that process data transferred via eData include, but are not 
limited to, systems responsible for disability processing and benefit 
determination or termination. The information collected on form SSA-118 
(Government to Government Services Online Web site Registration Form) 
to register organizations is used exclusively to maintain the identity 
of the requester within eData. The requestor is already a known entity 
to a sponsor within SSA. The SSA sponsor collects the information on 
the registration form and submits it for internal processing. Once this 
is completed, SSA provides the requestor with their new password and 
conducts a walkthrough of the eData Web site as necessary. The 
organization also can make modifications to their online account (e.g., 
address change) by completing an online form, SSA-119 (Government to 
Government Service Online Web site Account Modification/Deletion Form).
    Type of Request: Collection in use without OMB Control Number.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
              Collection instrument                 respondents      response        response      annual burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-118.........................................             925               1              15             231
SSA-119.........................................           1,575               1              15             394
                                                 ---------------------------------------------------------------
    Totals......................................           2,500  ..............  ..............             625
----------------------------------------------------------------------------------------------------------------

    3. Certificate of Election for Reduced Widow(er)'s Benefits--20 
CFR, Subpart D, 404.335--0960-NEW. Section 202(q) of the Social 
Security Act provides for the authority to reduce benefits under 
certain conditions when elected by a beneficiary. However, reduced 
benefits are not payable to an already entitled spouse (or divorced 
spouse) who:
     Is at least age 62 and under full retirement age in the 
month of the number holder's death; and
     Is receiving both reduced spouse's (or divorced spouse's) 
benefits and either retirement or disability benefits in the month 
before the month of the number holder's death.
    In order to elect reduced widow(er) benefits, a beneficiary must 
complete form SSA-4111. SSA uses the information collected on form SSA-
4111 to determine eligibility for and pay a qualified dually entitled 
widow(er) (or surviving divorced spouse) reduced benefits. The 
respondents are qualified dually entitled widow(er) (or surviving 
divorced spouse) who elects to receive a reduced widow(er) benefit.
    Type of Request: Collection in use without OMB Control Number.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden Per Response: 2 minutes.
    Estimated Annual Burden: 1,000 hours.

[[Page 40355]]

    4. Work History Report--20 CFR 404.1512 and 416.912-- 0960-0578. 
The information collected by form SSA-3369 is needed to determine 
disability by the State Disability Determination Services (DDS). The 
information will be used to document an individual's past work history. 
The respondents are applicants for Supplemental Security Income (SSI) 
disability payments and Social Security disability benefits.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per       Estimated
                Collection method                   respondents      response        response      annual burden
                                                                                      (hours)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3369 (Paper form)...........................          21,000               1               1          21,000
EDCS 3369.......................................         428,500               1               1         428,500
                                                 ---------------------------------------------------------------
    Totals......................................         449,500  ..............  ..............         449,500
----------------------------------------------------------------------------------------------------------------

    SSA published a 60-day notice on March 15, 2007 at 72 FR 12244 and 
a 30-day notice on May 9, 2007 at 72 FR 26443. We are publishing a 
correction to these notices, reducing the number of respondents from 
1,000,000 and correcting the average burden per response from 30 
minutes.

    Dated: July 17, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-14147 Filed 7-23-07; 8:45 am]
BILLING CODE 4191-02-P