[Federal Register Volume 74, Number 220 (Tuesday, November 17, 2009)]
[Notices]
[Pages 59338-59339]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-27511]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: 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 a revision to OMB-approved information collection.
    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, email, or 
fax your comments and recommendations on the information collection(s) 
to the OMB Desk Officer and the SSA Director for 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 Clearance 
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235, 
Fax: 410-965-6400, E-mail address: [email protected].

    I. SSA has submitted the information collection we list below to 
OMB for clearance. Your comments on the information collection 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 December 17, 2009. You can obtain a copy of the OMB 
clearance package by calling the SSA Director for Reports Clearance at 
410-965-0454 or by writing to the above email address.
    1. Social Security Benefits Application--20 CFR 404.310-.311, 
.315-.322, .330-.333, 601-.603, and .1501-.1512--0960-0618. This 
collection comprises the various application modalities for retirement, 
survivors, and disability benefits. These modalities include paper 
forms (SSA Forms SSA-1, SSA-2, and SSA-16), Modernized Claims System 
(MCS) screens for in-person field office interview applications, and 
the Internet based iClaim application. This information collection 
request (ICR) will expand the potential user base for iClaim.
    Type of Collection: Revision to an existing Office of Management 
and Budget-approved information collection.
    Paper Forms/Accompanying MCS Screens/Burden Information:

                                                   Form SSA-1
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                                                                                  Average burden     Estimated
                Collection method                    Number of     Frequency of    per response    annual burden
                                                    respondents      response          (min)          (hours)
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MCS.............................................         172,200               1              11          31,570
MCS/Signature Proxy.............................       1,549,800               1              10         258,300
Paper...........................................          21,000               1              11           3,850
Medicare-only MCS...............................         299,000               1               7          34,883
Medicare-only Paper.............................           1,000               1               7             117
    Totals......................................       2,043,000  ..............  ..............         328,720
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                                                   Form SSA-2:
----------------------------------------------------------------------------------------------------------------
MCS.............................................          36,860               1              15           9,215
MCS/Signature Proxy.............................         331,740               1              14          77,406
Paper...........................................           3,800               1              15             950
    Totals......................................         372,400  ..............  ..............          87,571
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                                                  Form SSA-16:
----------------------------------------------------------------------------------------------------------------
MCS.............................................         218,657               1              20          72,886
MCS/Signature Proxy.............................       1,967,913               1              19         623,172
Paper...........................................          24,161               1              20           8,054
    Totals......................................       2,210,731  ..............  ..............         704,112
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                                           iClaim Burden Information:
----------------------------------------------------------------------------------------------------------------
iClaim 3rd Party................................          28,118               1              15           7,030
iClaim Applicant after 3rd Party Completion.....          28,118               1               5           2,343
First Party iClaim..............................         541,851               1              15         135,463
Medicare-only iClaim (new to this ICR)..........         200,000               1              10          33,333
    Totals......................................         798,087  ..............  ..............         178,169
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[[Page 59339]]

    Aggregate Public Reporting Burden: 1,298,572 hours.

    Dated: November 10, 2009.
Elizabeth A. Davidson,
Director, Center for Clearance Officer, Social Security Administration.
[FR Doc. E9-27511 Filed 11-16-09; 8:45 am]
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