[Federal Register Volume 75, Number 218 (Friday, November 12, 2010)]
[Notices]
[Pages 69515-69516]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-28510]


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SOCIAL SECURITY ADMINISTRATION


Agency Information Collection Activities: Proposed 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 to 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 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 SSA Reports Clearance Officer at the following 
addresses or fax numbers.

(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: Reports Clearance 
Officer, 1333 Annex Building, 6401 Security Blvd., Baltimore, MD 21235, 
Fax: 410-965-6400, 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 
January 11, 2011. Individuals can obtain copies of the collection 
instruments by calling the SSA Reports Clearance Officer at 410-965-
8783 or by writing to the above email address.
    1. Reporting Events-SSI--20 CFR 416.701-416.732--0960-0128. 
Supplemental Security Income (SSI) applicants, recipients, or their 
representative payees must report any change in circumstances that 
could affect eligibility for SSI payments or the payment amount. SSA 
uses Form SSA-8150 for this purpose. The information assists us in 
determining if we should continue SSI payments or change a payment 
amount. The respondents are applicants for or recipients of SSI 
payments, or their representative payees.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 27,320.
    Frequency of Response: 1.
    Average Burden per Response: 5 minutes.
    Estimated Annual Burden: 2,277 hours.
    2. Request for Review of Hearing Decision/Order--20 CFR 404.967-
404.981, 416.1467-416.1481--0960-0277. Claimants have a statutory right 
under the Social Security Act and implementing regulations to request 
review of an administrative law judge's (ALJ) hearing decision or 
dismissal of a hearing request on Title II and Title XVI claims. 
Claimants may request Appeals Council review by filing a written 
request using Form HA-520. SSA uses the information to establish the 
claimant filed her or his request for review within the prescribed time 
and to ensure the claimant completed the requisite steps permitting the 
Appeals Council review. The Appeals Council uses the information to: 
(1) Document the claimant's reason(s) for disagreeing with the ALJ's 
decision or dismissal; (2) determine whether the claimant has 
additional evidence to submit; and (3) determine whether the claimant 
has a representative or wants to appoint one. The respondents are 
claimants requesting review of an ALJ's decision or dismissal of 
hearing.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 145,000.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 24,167 hours.
    3. Development for Participation in a Vocational Rehabilitation or 
Similar Program--20 CFR 404.316(c), 404.337(c), 404.352(d), 
404.1586(g),

[[Page 69516]]

404.1596, 404.1597(a), 404.327, 404.328, 416.1338(c)(d), 416.1320(d), 
416.1331(a)-(b), and 416.1338-0960-0282. State Disability Determination 
Services (DDS) must determine if Social Security disability payment 
recipients, whose disability ceased and who participate in vocational 
rehabilitation programs, may continue to receive disability payments. 
To do this, DDSs need information about the recipients, the types of 
program participation, and the services they receive under the 
rehabilitation program. SSA uses Form SSA-4290 to collect this 
information. The respondents are State employment networks, vocational 
rehabilitation agencies, or other providers of educational or job 
training services.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 3,000.
    Frequency of Response: 1.
    Average Burden per Response: 15 minutes.
    Estimated Annual Burden: 750 hours.
    4. Modified Benefit Formula Questionnaire--0960-0395. The Windfall 
Elimination Provision of the Social Security Act removes an unintended 
advantage in computing Social Security benefits for persons with 
substantial pensions from non-covered employment. SSA collects 
information on Form SSA-150 to determine the correct formula to use in 
computing the Social Security benefit for someone who receives a 
pension from employment not covered by Social Security. The respondents 
are applicants for Title II benefits.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 90,000.
    Frequency of Response: 1.
    Average Burden per Response: 8 minutes.
    Estimated Annual Burden: 12,000 hours.
    5. Acknowledgement of Receipt (Notice of Hearing)--20 CFR 404.938 & 
416.1438--0960-0671. SSA uses Forms HA-504 and HA-504-OP1 to inform 
claimants of a scheduled hearing. Claimants complete the form to 
acknowledge they will attend the hearing or to request the ALJ 
reschedule the hearing. The ALJ uses the information to prepare for the 
scheduled hearing or to reschedule the hearing to a different date or 
location. The only difference between the two forms is the exclusion of 
the video teleconferencing option on the HA-504-OP1. We exclude video 
teleconferencing when it is not feasible, based on certain 
circumstances, for the ALJ to use it. The respondents are applicants 
for Social Security benefits who request a hearing to appeal an 
unfavorable entitlement or eligibility determination.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
              Version of the HA-504                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
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HA-504 (with teleconferencing)..................          70,000               1              30          35,000
HA-504-OP1......................................         630,000               1              30         315,000
                                                 ---------------------------------------------------------------
    Total.......................................         700,000  ..............  ..............         350,000
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    Dated: November 8, 2010.
Liz Davidson,
Center Director, Center for Reports Clearance, Social Security 
Administration.
[FR Doc. 2010-28510 Filed 11-10-10; 8:45 am]
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