[Federal Register Volume 74, Number 192 (Tuesday, October 6, 2009)]
[Notices]
[Pages 51353-51354]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-24054]



[[Page 51353]]

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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 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].

    I. The information collection below is pending at SSA. SSA will 
submit it 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 
December 7, 2009. Individuals can obtain copies of the collection 
instrument by calling the SSA Director for Reports Clearance at 410-
965-0454 or by writing to the above e-mail address.
    1. Response to Notice of Revised Determination--20 CFR 
404.913-.914, 404.992(b), 416.1413-.1414 and 416.1492(d)-0960-0347. 
When SSA determines that (1) claimants for initial disability benefits 
do not actually have a disability or (2) current disability recipients' 
disability ceased, the agency must notify the disability claimants/
recipients of this decision. In response to this notice, the affected 
claimants and disability recipients have the following recourse: (1) 
They may request a disability hearing to contest SSA's decision, and 
(2) they may submit additional information or evidence for SSA to 
consider. Disability claimants, recipients, and their representatives 
use Form SSA-765, the Response to Notice of Revised Determination, to 
accomplish these two actions. The respondents are disability claimants, 
current disability recipients, or their representatives.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 1,925.
    Frequency of Response: 1.
    Average Burden Per Response: 30 minutes.
    Estimated Annual Burden: 963 hours.
    2. Statement of Household Expenses and Contributions--20 CFR 
416.1130-416.1148-0960-0456. SSA uses the information from Form SSA-
8011-F3, to determine whether the claimant or recipient receives in-
kind support and maintenance. This is necessary to determine the 
claimant or recipient's eligibility for Supplemental Security Income 
(SSI) and the amount of benefits payable. SSA does not use this form 
for all claims and post eligibility determinations. SSA uses this form 
only in cases where SSA needs the householder's (head of household) 
corroboration of in-kind support and maintenance. Respondents are 
householders where an SSI applicant or recipient resides.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 400,000.
    Frequency of Response: 1.
    Average Burden Per Response: 15 minutes.
    Estimated Annual Burden: 100,000 hours.
    3. Request for Reinstatement (Title II)--20 CFR 404.1592b-
404.1592f-0960-0742. Through Form SSA-371, SSA obtains a signed 
statement from individuals stating a request for Expedited 
Reinstatement (EXR) of their Title II disability benefits, and proof 
the requestor meets the EXR requirements. SSA maintains the form in the 
disability folder of the applicant to demonstrate the individual's 
awareness of the EXR requirements and their choice to request EXR. 
Respondents are individuals requesting expedited reinstatement of his 
or her Title II disability benefits.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 10,000.
    Frequency of Response: 1.
    Average Burden Per Response: 2 minutes.
    Estimated Annual Burden: 333 hours.
    4. Request for Reinstatement (Title XVI)--20 CFR 416.999-416.999d-
0960-0744. Through the SSA-372, SSA obtains a signed statement from 
individuals stating a request for Expedited Reinstatement (EXR) of 
their Title XVI SSI payments, and proof the requestor meets the EXR 
requirements. SSA maintains the form in the disability folder of the 
applicant to demonstrate the individual's awareness of the EXR 
requirements and their choice to request EXR. Respondents are 
individuals requesting expedited reinstatement of his or her Title XVI 
SSI payments.
    Type of Request: Revision of an OMB approved information 
collection.
    Number of Respondents: 2,000.
    Frequency of Response: 1.
    Average Burden Per Response: 2 minutes.
    Estimated Annual Burden: 67 hours.
    II. SSA has submitted the information collections we list below to 
OMB for clearance. Your comments on the information collections would 
be most useful if OMB and SSA receive them within 30 days from the date 
of this publication. To be sure we consider your comments, we must 
receive them no later than November 5, 2009. You can obtain a copy of 
the OMB clearance packages by calling the SSA Director for Reports 
Clearance at 410-965-0454 or by writing to the above e-mail address.
    1. Continuing Disability Review Report--20 CFR 404.1589, 416.989-
0960-0072. SSA may conduct a review to determine whether individuals 
receiving disability benefits are still entitled to or eligible for 
those benefits. SSA uses Form SSA-454 to collect the information it 
needs to complete the review for continued disability from recipients 
or from their representatives. SSA conducts reviews on a periodic basis 
depending on the respondent's disability. We obtain information on 
sources of medical treatment, participation in vocational 
rehabilitation programs (if any), attempts to work (if any), and the 
opinions of individuals regarding whether their conditions have 
improved. The respondents are Title II and/or Title XVI disability 
recipients or their representatives.
    Type of Request: Revision of an OMB approved information 
collection.

[[Page 51354]]



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                                                                                  Average burden   Total annual
             Modality of completion                  Number of     Frequency of    per response       burden
                                                    respondents      response        (minutes)        (hours)
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SSA-454-BK......................................         258,700               1              60         258,700
SSA-454-ICR.....................................             300               1              30             150
EDCS Interview..................................             300               1              30             150
                                                 ---------------------------------------------------------------
    Total.......................................         259,300  ..............  ..............         259,000
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    Dated: September 30, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-24054 Filed 10-5-09; 8:45 am]
BILLING CODE 4191-02-P