[Federal Register Volume 74, Number 247 (Monday, December 28, 2009)]
[Notices]
[Pages 68655-68656]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-30633]


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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].
    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 26, 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 email address.
    1. Request to Resolve Questionable Quarters of Coverage (QC); 
Request for QC History Based on Relationship-- 0960-0575. States use 
the information from Form SSA-512 to request clarification from SSA on 
questionable QC information. The Personal Responsibility and Work 
Opportunity Reconciliation Act states that aliens admitted for lawful 
residence who have worked and earned 40 qualifying QCs for Social 
Security purposes can generally receive state benefits. States use the 
information from Form SSA-513 to request QC information for an alien's 
spouse or child in cases where the alien does not sign a consent form 
giving permission to access his/her Social Security records. QCs can 
also be allocated to a spouse and/or to a child under age 18, if 
needed, to obtain 40 qualifying QCs for the alien. The respondents are 
state agencies that require QC information to determine eligibility for 
benefits.
    Type of Request: Extension of an OMB-approved information 
collection.

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                                                                                  Average burden
                   Form Number                       Number of     Frequency of    per response    Total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-512.........................................          25,000               1               2             834
SSA-513.........................................          25,000               1               2             834
                                                 ---------------------------------------------------------------
    Totals......................................          50,000  ..............  ..............           1,668
----------------------------------------------------------------------------------------------------------------

    2. Statement for Determining Continuing Eligibility Supplemental 
Security Income Payment--20 CFR 416.204--0960-0145. SSA uses the 
information from Form SSA-8202-BK to a conduct low- and middle-error-
profile telephone or face-to-face redeterminination interviews with 
Supplemental Security Income (SSI) recipients and representative 
payees. The information SSA collects during the interview is necessary 
to determine whether SSI recipients have met and continue to meet all 
statutory and regulatory requirements for SSI eligibility and whether 
they have been, and are still receiving, the correct payment amount.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden
                   Form Number                       Number of     Frequency of    per response    Total annual
                                                    respondents      response        (minutes)    burden (hours)
----------------------------------------------------------------------------------------------------------------
SSA-8202-BK.....................................       1,000,000               1              21         350,000
MSSICS..........................................     201,328,000               1              20      67,109,333
                                                 ---------------------------------------------------------------
    Totals......................................     202,328,000  ..............  ..............      67,459,333
----------------------------------------------------------------------------------------------------------------

    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 27, 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 email address.
    1. Certificate of Support--20 CFR 404.370, 404.750, 404.408a--0960-
0001. A parent of a deceased, fully insured worker may be entitled to 
Title II benefits on the earnings record of the deceased worker under 
certain conditions. One of the conditions is the

[[Page 68656]]

parent must have received at least one-half support from the deceased 
worker. The one-half support requirement also applies to a spouse 
applicant in determining whether Title II benefits are subject to 
Government Pension Offset (GPO). SSA uses the information from Form 
SSA-760-F4 to determine whether the parent of a deceased worker or a 
spouse applicant meets the one-half support requirement. Respondents 
are parents of deceased workers or spouses who may be exempt from GPO.

    Note: This is a correction notice. SSA published this 
information collection as an extension on October 26, 2009, at 74 FR 
55080. Since we are revising the Privacy Act Statement, this is now 
a revision of an OMB-approved information collection.

    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 18,000.
    Frequency of Response: 1.
    Average Burden per Response: 15 minutes.
    Estimated Annual Burden: 4,500 hours.
    2. Reporting Changes that Affect Your Social Security Payment--20 
CFR 404.301-305, 404.310-311, 404.330-.333, 404.335-.341, 404.350-.352, 
404.468--0960-0073. SSA collects the information on the SSA-1425 to 
determine continuing entitlement to Title II Social Security benefits 
and to determine the proper benefit amount. The respondents are Social 
Security beneficiaries receiving SSA retirement, disability, or 
survivor's auxiliary benefits who need to report an event that could 
affect payments.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 70,000.
    Frequency of Response: 1.
    Average Burden per Response: 5 minutes.
    Estimated Annual Burden: 5,833 hours.
    3. Child Relationship Statement--20 CFR 404.355 & 404.731--0960-
0116. SSA collects information on the SSA-2519 to help determine a 
child's entitlement to Social Security benefits under section 216(h)(3) 
(deemed child provision) of the Social Security Act. An insured 
individual's child may be deemed his or her child if: (1) The insured 
individual is shown by evidence satisfactory to SSA to be the child's 
parent and was living with or contributing to the child's support at 
certain specified times; or (2) the insured individual acknowledged the 
child in writing or the court decreed the individual to be the child's 
parent or ordered the individual to support the child. Respondents are 
persons with knowledge of the relationship between an individual and 
his/her alleged biological child who is filing for benefits.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 50,000.
    Frequency of Response: 1.
    Average Burden per Response: 15 minutes.
    Estimated Annual Burden: 12,500 hours.
    4. Pre-1957 Military Service--Federal Benefit Questionnaire--20 CFR 
404.1301-404.1371--0960-0120. Sections 217(a) through (e) of the Social 
Security Act provide for crediting military service before 1957 to the 
wage earner's record. Form SSA-2512 collects specific information about 
other Federal, military, or civilian benefits the wage earner may 
receive when the applicant indicates both pre-1957 military service and 
the receipt of a Federal benefit. SSA uses the data in the claims 
adjudication process to grant gratuitous military wage credits when 
applicable, and to solicit sufficient information to determine 
eligibility. Respondents are applicants for Social Security benefits on 
a record where the wage earner has pre-1957 military service.

    Note:  This is a correction notice. SSA published this 
information collection as an extension on October 26, 2009 at 74 FR 
55080. Since we are revising the Privacy Act Statement, this is now 
a revision of an OMB-approved information collection.

    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 5,000.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 833 hours.
    5. Application of Circuit Court Law--20 CFR 404.985 & 416.1458--
0960-0581. SSA collects certain information provided in readjudication 
requests it receives from persons claiming the application of an 
acquiescence ruling (AR) would change a prior determination or 
decision. SSA uses this information to determine whether persons are 
entitled to readjudication of their claims in accordance with Social 
Security regulations. SSA reviews the information in the requests to 
determine whether the issue(s) stated in the AR pertains to the 
claimant's case. If readjudication is appropriate, SSA considers only 
those issue(s) the AR covers. Any new determination or decision is 
subject to administrative or judicial review as specified in the 
regulations. Respondents are claimants for Social Security benefits and 
SSI payments who request readjudication.
    Type of Request: Extension of an OMB-approved information 
collection.
    Number of Respondents: 10,000.
    Frequency of Response: 1.
    Average Burden Per Response: 17 minutes.
    Estimated Annual Burden: 2,833 hours.

    Dated: December 21, 2009.
Elizabeth A. Davidson,
Director, Center for Reports Clearance, Social Security Administration.
[FR Doc. E9-30633 Filed 12-24-09; 8:45 am]
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