[Federal Register Volume 72, Number 182 (Thursday, September 20, 2007)]
[Notices]
[Pages 53803-53805]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-18538]


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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

[[Page 53804]]

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 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, 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. Request for Waiver of Special Veterans Benefits (SVB) 
Overpayment Recovery or Change in Repayment Rate--20 CFR 408.900-
408.950, 408.923(b), 408.931(b), 408.932(c), (d) and (e), 408.941(b) 
and 408.942--0960-0698. Title VIII allows the payment of a monthly 
benefit by the Commissioner of Social Security to a qualified World War 
II veteran who resides outside the United States. When an overpayment 
in SVB occurs, the beneficiary can use this form to request waiver of 
recovery of the overpayment or a change in the repayment rate. The SSA-
2032-BK will be used to obtain the information necessary to determine 
whether the provisions of the Act regarding waiver of recovery of the 
overpayment are met. The information on the form is needed to determine 
a repayment rate if repayment cannot be waived. Respondents are 
beneficiaries who have overpayments on their Title VIII record and wish 
to file a claim for waiver of recovery or change in repayment rate.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 39.
    Frequency of Response: 1.
    Average Burden Per Response: 120 minutes.
    Estimated Annual Burden: 78 hours.
    2. Request for Medical Treatment in an SSA Employee Health 
Facility: Patient Self-Administered or Staff Administered Care--0960-
NEW. SSA operates Employee Health Clinics on-site in eight different 
states. These clinics provide health care for all SSA employees 
including treatments of personal medical conditions when authorized 
through a physician. The SSA-5072 is the employee's personal 
physician's order form. The information collected on the SSA-5072 gives 
the nurses the guidance they need by law to perform certain medical 
procedures and to administer prescription medications such as allergy 
immunotherapy. Also, the information collected by the SSA-5072 allows 
the SSA Medical Officer to determine whether the treatment can be 
administered safely and appropriately in the SSA Employee Health Units.
    Each state has a Nurse Practice Act governing the practice of 
registered nurses in the state. All Nurse Practice Acts require that 
registered nurses administer prescription medications and certain 
medical treatments by following a licensed physician's orders. Form 
SSA-5072 provides the vehicle for the physician to provide these orders 
to the SSA nursing staff. Respondents are physicians of SSA employees 
who need to have medical treatment in the SSA Employee Health Unit.
    Type of Request: Information Collection in Use without an OMB 
Number.
    Number of Responses: 175.
    Estimated Annual Burden: 15 hours.

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                                                                                                                       Average burden       Estimated
                   Medication dosage changes                        Number of       Frequency of        Number of       per response      annual burden
                                                                   respondents        response          responses         (minutes)          (hours)
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Annually......................................................                25                 1                25                 5                 2
Bi-Annually...................................................                75                 2               150                 5                13
                                                               -----------------------------------------------------------------------------------------
        Totals................................................               100  ................               175  ................                15
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    3. Disability Hearing Officer's Report of Disability Hearing (DC)--
20 CFR 416.1407--0906-0507. The information collected on form SSA-1204-
BK is used by the Disability Hearing Officer (DHO) to conduct and 
document disability hearings, and to provide a structured format that 
covers all conceivable issues relating to Supplemental Security Income 
(SSI) claims for disabled children. The completed SSA-1204-BK will aid 
the DHO in preparing the disability decision and will provide a record 
of what transpired in the hearing. The respondents are DHO's in the 
State Disability Determination Services.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 2,000.
    Frequency of Response: 1.
    Average Burden per Response: 60 minutes.
    Estimated Annual Burden: 2000 hours.
    4. Medical Report (Individual with Childhood Impairment)--20 CFR 
404.1512-404.1515, 416.912-416.915, & 20 CFR 422.125--0960-0102. The 
information collected from SSA-3827 is used by SSA to determine the 
childhood claimant's physical status prior to making a disability 
determination and to document the childhood disability claims folder 
with the medical evidence. The respondents are members of the medical 
community, and include physicians, hospital directors, medical records 
librarians, and other medical personnel.
    Type of Request: Revision of an OMB-approved information collection
    Number of Respondents: 12,000.
    Frequency of Response: 1.
    Average Burden per Response: 30 minutes.
    Estimated Annual Burden: 6,000 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

[[Page 53805]]

the OMB clearance packages by calling the SSA Reports Clearance Officer 
at 410-965-0454 or by writing to the address listed above.
    1. National 800 Number--Claims Status--20 CFR 401.45-0960-NEW. SSA 
has established a process for authenticating the information of 
individuals who use the automated telephone services or speak to an 
agent to request information from SSA records. Prior to SSA responding 
to requests for personal information through the automated telephone 
services, we must authenticate the requester's information by obtaining 
the appropriate identification elements. This automated telephone 
service will provide callers with status of a Social Security claim 
which they have filed. All information provided will then be compared 
to the information contained in our records so that the appropriate 
claim is accessed and the respondent is given the status of that claim. 
Respondents are current Social Security beneficiaries.
    Type of Request: Request for a new information collection.
    Number of Respondents: 704,422.
    Frequency of Response: 1.
    Average Burden per Response: 1 minute.
    Estimated Annual Burden: 11,740 hours.
    2. Missing and Discrepant Wage Reports Letter and Questionnaire--26 
CFR 31.6051-2-0960--0432. Each year employers report the wage amounts 
they paid their employees to the Internal Revenue Service (IRS) for tax 
purposes, and separately to SSA for retirement and disability coverage 
purposes. These reported amounts should equal each other; however, each 
year some of the employer wage reports that SSA receives are less than 
the wage amounts reported to the IRS. SSA attempts to ensure that 
employees receive full credit for the wages that they have earned 
through the use of the forms SSA-L93-SM; SSA-L94-SM; SSA-95-SM and SSA-
97-SM. Respondents are employers who reported less wage amounts to SSA 
than they reported to the IRS.
    Type of Request: Revision 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.

    Dated: September 14, 2007.
Elizabeth A. Davidson,
Reports Clearance Officer, Social Security Administration.
[FR Doc. E7-18538 Filed 9-19-07; 8:45 am]
BILLING CODE 4191-02-P