[Federal Register Volume 74, Number 169 (Wednesday, September 2, 2009)]
[Notices]
[Pages 45508-45510]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-21215]


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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 requiring clearance by the Office of 
Management and Budget (OMB) in compliance with Public Law (Pub. L.) 
104-13, the Paperwork Reduction Act of 1995, effective October 1, 1995. 
This notice includes revisions and extensions 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 ways to minimize the 
burden on respondents, including the use of automated collection 
techniques or other forms of information technology. Mail, e-mail, or 
fax your comments and recommendations on the information collection(s) 
to the OMB Desk Officer and the SSA Director for Reports Clearance to 
the addresses or fax numbers shown 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: Director, Center 
for Reports Clearance, 1333 Annex Building, 6401 Security Blvd., 
Baltimore, MD 21235. Fax: 410-965-0454. E-mail address: 
[email protected].

    The information collections below are pending at SSA. SSA will 
submit them to OMB within 60 days from the date of this notice. To be 
sure we consider your comments, we must receive them no later than 
November 2, 2009. Individuals can obtain copies of the collection 
instruments by calling the SSA Director for Reports Clearance at 410-
965-0454 or by writing to the e-mail address we list above.
    1. Blood Donor Locator Service (BDLS)--20 CFR 401.200--0960-0501. 
This regulation stipulates that when blood donor facilities identify 
blood donations as Human Immunodeficiency Virus (HIV)-positive, the 
overseeing State agency must provide the names and Social Security 
Numbers of the affected donors to SSA's Blood Donor Locator Service. 
SSA uses this information to furnish the State agencies with the blood 
donors' address information to notify the blood donors. Respondents are 
State agencies acting on behalf of blood donor facilities.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 10.
    Frequency of Response: 5.
    Average Burden per Response: 15 minutes.
    Estimated Annual Burden: 13 hours.
    2. Continuation of SSI Benefits for the Temporarily 
Institutionalized--Certification of Period and Need to Maintain Home--
20 CFR 416.212(b)(1)--0960-0516. When Supplemental Security Income 
(SSI) recipients: (1) Enter a public institution, or (2) enter a 
private medical institution with Medicaid paying more than 50% of 
expenses, their SSI payments are reduced to a nominal sum. However, if 
this institutionalization is temporary (defined as a maximum of 3 
months), SSA may waive the reduction of benefits.
    Before SSA can waive the benefit reduction, the agency must receive 
the following documentation: (1) A physician's certification that the 
beneficiary will only be institutionalized for a maximum of 3 months, 
and (2) certification from the beneficiary, beneficiary's family, or 
beneficiary's friend confirming that SSI benefits are needed to 
maintain the living arrangements to which the beneficiary will return 
post-institutionalization. The respondents are doctors of SSI 
beneficiaries and the beneficiaries or their family/friends.
    Type of Request: Extension of an OMB-approved information 
collection.

[[Page 45509]]

    Number of Respondents: 60,000.
    Frequency of Response: 1.
    Average Burden per Response: 5 minutes.
    Estimated Annual Burden: 5,000 hours.
    3. Privacy and Disclosure of Official Records and Information; 
Availability of Information and Records to the Public--20 CFR 
401.40(b)&(c), 401.55(b), 401.100(a), 402.130, 402.185--0960-0566. 
Under the Privacy and Disclosure of Official Records and Information, 
SSA has established methods in which the public can request the 
following: Access to their SSA records; disclosure of SSA records; 
corrections/amendments to their SSA records; consent for release of 
records; records accessible through the Freedom of Information Act 
(FOIA); and waiver/reduction of fees normally charged for release of 
FOIA records. SSA most often collected the required information for 
these requests through a written letter, with the exception of the 
consent for release of records for which there is the Form SSA-3288. 
Respondents are individuals requesting access to, correction of, or 
disclosure of SSA records.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                  Average burden     Estimated
                 Type of request                     Number of     Frequency of    per response    annual burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Access to Records...............................          10,000               1              11           1,833
Designating a Representative for Disclosure of             3,000               1               2             100
 Records........................................
Amendment of Records............................             100               1              10              17
Consent of Release of Records...................       3,000,000               1               3         150,000
FOIA Requests for Records.......................          15,000               1               5           1,250
Waiver/Reduction of Fees........................             400               1               5              33
                                                 ---------------------------------------------------------------
    Totals......................................       3,028,500  ..............  ..............         153,233
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    4. Representative Payee Report of Benefits and Dedicated Account--
20 CFR 416.546, 416.635, 416.640, 416.665--0960-0576. SSA requires 
representative payees (RPs) to submit a written report accounting for 
the use of money paid to Social Security and/or Supplemental Security 
Income (SSI) recipients, and to establish and maintain a dedicated 
account for these payments. SSA uses Form SSA-6233 to ensure the RPs 
are using the benefits received for the recipient's current maintenance 
and personal needs, and the expenditures of funds from the dedicated 
account are in compliance with the law. Respondents are representative 
payees for SSI recipients.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden per Response: 20 minutes.
    Estimated Annual Burden: 10,000 hours.
    5. The Ticket to Work and Self-Sufficiency Program --20 CFR 411-- 
0960-0644. Through its Ticket to Work Program Manager, SSA uses the 
information collected to operate and manage the Ticket to Work Program. 
SSA uses the Ticket to Work Program to assign Social Security 
Disability Insurance (SSDI) or Supplemental Security Income (SSI) 
beneficiaries to a service provider, and follows their progress through 
the various stages of ticket program participation, such as progress 
reviews or changes in ticket status. Most of the collections in this 
Information Collection Request (ICR) require service providers to 
provide information to SSA for such tasks as selecting a payment system 
or requesting payments for helping the beneficiary achieve certain work 
goals. Most of the categories of information collected in this ICR are 
necessary for SSA to: (1) Comply with the Ticket to Work legislation, 
and (2) provide proper oversight of the program. SSA collects this 
information through several modalities, including forms, electronic 
exchanges, and written documentation. The respondents are SSDI 
beneficiaries and blind or disabled SSI beneficiaries and their 
employment networks or State vocational rehabilitation agencies 
assigned under the auspices of the Ticket to Work Program.
    Type of Request: Revision of an OMB approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden   Total annual
             Modality of completion                  Number of     Frequency of    per response       burden
                                                    respondents      response        (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
(a) 20 CFR 411.140(d)(3); 411.150(b)(3);                  13,700               1             240          54,800
 411.325(a); SSA-1365; SSA-1370.................
(a) 20 CFR 411.166; 411.170(b); Electronic Data           35,584               1               5            2965
 Sharing........................................
(b) 20 CFR 411.145; 411.325; Requesting Ticket             2,532               1              15             633
 Un-assignments.................................
(b) 20 CFR 411.535(a)(1)(iii); VR Case Closures.           8,505               1               5             709
(c) 20 CFR 411.192(b)&(c); Request to Place                1,000               1              30             500
 Ticket in Inactive Status......................
(c) 20 CFR 411.200(b); SSA-1375; SSA-L1373; SSA-         127,000               1              15          31,750
 L1374; SSA-L1377; Certification of Work and
 Educational Progress...........................
(c) 20 CFR 411.210(b); Ticket-Use Status after             3,145               1              30           1,573
 Not Making Timely Progress.....................
(d) 20 CFR 411.365; 411.505; 411.515; Selecting              118               1              30              59
 a Payment System...............................
(e) 20 CFR 411.325(d); 411.415; Reporting                     48               1             480             384
 Referral Agreement.............................
(f) 20 CFR 411.575; SSA-1391; SSA-1389; SSA-              12,420               1              60          12,420
 1393; SSA-1399; SSA-1396; SSA-1392; SSA-1398;
 Requesting EN Payments.........................
(f) 20 CFR 411.560; SSA-1401; Split Payment                  100               1              20              33
 Situations.....................................
(g) 20 CFR 411.325(f); Periodic Outcomes                   2,470               1             120           4,940
 Reporting......................................
(h) 20 CFR 411.435; 411.615; 411.625; Dispute                  2               1             120               4
 Resolutions....................................

[[Page 45510]]

 
(i) 20 CFR 411.320;.............................             202               1              10              34
SSA-1394; EN Contract Changes...................
                                                 ---------------------------------------------------------------
    Totals......................................         206,826  ..............  ..............         110,804
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    6. Medical Consultant's Review of Psychiatric Review Technique 
Form--20 CFR 404.1520a, 404.1640, 404.1643, 404.1645, 416.920a--0960-
0677. Form SSA-3023 is a program evaluation form SSA's regional review 
component uses to facilitate the contract medical/psychological 
consultant's review of the Psychiatric Review Technique Form (PRTF). 
SSA-3023 records the reviewing medical/psychological consultant's 
assessment of the PRTF. The medical/psychological consultant only 
completes form SSA-3023 when an adjudicating component's PRT is in the 
file. SSA requires form SSA-3023 for each PRT form completed. The 
respondents are medical/psychological consultants who review the 
Psychiatric Review Technique Form for quality purposes.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 344.
    Frequency of Response: 165.
    Average Burden per Response: 12 minutes.
    Estimated Annual Burden: 11,352 hours.

    Dated: August 28, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-21215 Filed 9-1-09; 8:45 am]
BILLING CODE 4191-02-P