[Federal Register Volume 74, Number 243 (Monday, December 21, 2009)]
[Notices]
[Pages 67945-67948]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-30227]


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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

[[Page 67946]]

Public Law (Pub. L.) 104-13, the Paperwork Reduction Act of 1995, 
effective October 1, 1995. This notice includes revisions to 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 
February 19, 2010. 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. Claimant Statement about Loan of Food or Shelter; Statement 
about Food or Shelter Provided to Another--20 CFR 416.1130-416.1148--
0960-0529. SSA uses Forms SSA-5062 and SSA-L5063 to obtain statements 
about food and/or shelter provided to SSI claimants or recipients. SSA 
uses this information to determine whether food and/or shelter are bona 
fide loans or should be counted as income for SSI purposes. This 
determination can affect a claimant's or recipient's eligibility for 
SSI and the amount of SSI payments. The respondents are claimants and 
recipients of SSI payments and individuals who provide food or shelter 
loans to them.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 131,080.
    Frequency of Response: 1.
    Average Burden Per Response: 10 minutes.
    Estimated Annual Burden: 21,846 hours.
    2. Direct Deposit Sign-Up Form (Country)--31 CFR 210--0960-0686. 
SSA's International Direct Deposit Program allows beneficiaries living 
abroad to have their payments directly deposited to an account at a 
financial institution outside the United States. SSA uses Form SSA-1199 
to obtain the direct deposit information for an account at a foreign 
financial institution. Routing account number information varies 
slightly for each foreign country, so we use a variation of the 
Department of Treasury's Form SF-1199A for each country. The 
respondents are Social Security beneficiaries residing abroad who wish 
to have their benefit payments directly deposited to a foreign 
financial institution.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 5,000.
    Frequency of Response: 1.
    Average Burden Per Response: 5 minutes.
    Estimated Annual Burden: 417 hours.
    3. Temporary Extension of Attorney Fee Payment System to Title XVI; 
5-Year Demonstration Project Extending Fee Withholding and Payment 
Procedures to Eligible Non-Attorney Representatives; Definition of 
Past-Due Benefits; and Assessment for Fee Payment Services--20 CFR 
404.1717, 404.1730(c)(1), 404.1730(c)(2)(i), 404.1730(c)(2)(ii), 
416.1517, 416.1528(a), 416.1530(c)(1), 416.1530(c)(2)(i), 
416.1530(c)(2)(i)--OMB No. 0960-0745. Section 302 of the Social 
Security Protection Act of 2004 (SSPA), Public Law 108-203, amended 
section 1631(d)(2) of the Social Security Act to temporarily extend the 
Title II attorney fee withholding and direct payment process to Title 
XVI. Section 303 of the SSPA directs SSA to conduct a 5-year nationwide 
demonstration project to allow qualifying non-attorneys the option of 
fee withholding and direct payment of fees under both Titles II and 
XVI. SSA uses the information to administer fee withholding and direct 
payment to certain non-attorney representatives. Respondents are non-
attorneys who are eligible to receive direct payment of fees for 
representing individuals before SSA.
    Type of Request: Extension of an OMB-approved information 
collection.

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                                                                                  Average burden     Estimated
          Regulation section              Number of      Frequency of response     per response    annual burden
                                         respondents                                 (minutes)        (hours)
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404.1730(c)(2)(i)....................             841  10/year..................              30           4,205
404.1730(c)(2)(ii)...................             600  1........................               3              30
416.1530(c)(2)(i)....................             561  10/year..................              30           2,805
416.1530(c)(2)(ii)...................             400  1........................               3              20
                                      --------------------------------------------------------------------------
    Totals...........................           2,402  .........................  ..............           7,060
----------------------------------------------------------------------------------------------------------------

    II. SSA has submitted the information collections listed 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 January 20, 2010. 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. Authorization for the Social Security Administration to Obtain 
Account Records from a Financial Institution and Request for Records--
20 CFR 416.200, 416.203--0960-0293. Individuals must authorize 
financial institutions to disclose records to SSA by signing an SSA-
4641-U2. Financial institutions use the form to provide financial 
information to SSA. We need the information if an individual's records 
are incomplete, unavailable, or appear altered. SSA must verify the 
existence, ownership, and value of accounts of SSI applicants, 
recipients, and deemors. We use the financial institution's report, in 
part, to determine whether the respondent meets SSI resource 
eligibility requirements. The respondents are SSI applicants',

[[Page 67947]]

recipients', or deemors' financial institutions.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
                    Modality                         responses       response        response     burden (hours)
                                                                                     (minutes)
----------------------------------------------------------------------------------------------------------------
SSA-4641-U2.....................................         320,000               1               6          32,000
e4641...........................................         180,000               1               6          18,000
                                                 ---------------------------------------------------------------
    Total.......................................         500,000  ..............  ..............          50,000
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    This is a correction notice: SSA is updating burden information for 
this collection initially published at 74 FR 39728 on August 7, 2009.
    2. The Ticket to Work and Self-Sufficiency Program--20 CFR 411-- 
0960-0644. Through its Ticket to Work Program Manager, SSA uses the 
information to operate and manage the Ticket to Work Program. SSA uses 
the Ticket to Work Program to assign Social Security Disability 
Insurance (SSDI) or SSI recipients 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 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 recipients 
and their employment networks, or State vocational rehabilitation 
agencies assigned under the auspices of the Ticket to Work Program.
    Correction Notice: Type of Request: Revision of an OMB-approved 
information collection.

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                                                                                  Average burden
             Modality of completion                  Number of     Frequency of    per response    Total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
(a) 20 CFR 411.140(d)(3); 411.150(b)(3);                  12,330               1              60          12,330
 411.325(a); SSA-1365...........................
(a) 20 CFR 411.140(d)(3); 411.150(b)(3);                   1,370               1              60           1,370
 411.325(a); SSA-1370...........................
(a) 20 CFR 411.166; 411.170(b); Electronic Data           35,584               1               5           2,965
 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              30           6,210
 1393; SSA-1399; SSA-1396; SSA-1392; SSA-1398;
 Requesting EN Payments.........................
(f) 20 CFR 411.575; SSA-1392; EN Payment Status              100               1               5               8
 Report Request.................................
(f) 20 CFR 411.560; Split Payment Situations....             100               1              20              33
(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....................................
(i) 20 CFR 411.320; SSA-1394; EN Contract                    202               1              10              34
 Changes........................................
                                                 ---------------------------------------------------------------
    Totals......................................         206,926  ..............  ..............          63,502
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    This is a correction notice: SSA is updating burden information for 
this collection initially published at 74 FR 39728 on August 7, 2009.
    3. Non-Attorney Representative Demonstration Project Application--
20 CFR 404.1745-404.1799 and 20 CFR 416.1545-416.1599--0960-0699. 
Section 303 of the SSPA provides for a 5-year demonstration project 
under which SSA extends the direct payment of approved fees to certain 
non-attorney claimant representatives. Under the SSPA, to be eligible 
for direct payment of fees, a non-attorney representative must fulfill 
the following statutory requirements: (1) Possess a bachelors degree or 
have equivalent qualifications from training and work experience; (2) 
pass an examination that tests knowledge of the relevant provisions of 
the Social Security Act; (3) secure professional liability insurance or 
equivalent insurance; (4) pass a criminal background check; and (5) 
demonstrate completion of relevant continuing education courses. 
Through the services of a private contractor, SSA must collect the 
requested information to determine if a non-attorney representative has 
met the statutory requirements to be eligible for direct payment of 
fees for his or her claimant representation services. SSA needs this 
information to comply with the legislation. The respondents are non-
attorney representatives who apply for direct payment of fees.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 700.

[[Page 67948]]



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                                                     Number of     Frequency of    Response time   Total annual
             Modality of completion                 respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
New Applicants (paper submission)...............              20               1              60              20
New Applicants (electronic submission)..........             180               1              60             180
Existing Applicants CE Submission...............             500               1              30             250
                                                 ---------------------------------------------------------------
    Totals......................................             700  ..............  ..............             450
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    This is a correction notice: SSA is updating burden information for 
this collection initially published at 74 FR 48795 on September 24, 
2009.

    Dated: December 15, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-30227 Filed 12-18-09; 8:45 am]
BILLING CODE 4191-02-P