[Federal Register Volume 75, Number 226 (Wednesday, November 24, 2010)]
[Notices]
[Pages 71785-71786]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-29576]


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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 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, email, 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].

    I. 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 24, 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 e-mail address.
    1. Continuing Disability Review Report--20 CFR 404.1589, 416.989-
0960-0072. SSA conducts periodic reviews to determine whether 
individuals receiving disability benefits continue their entitlement to 
or eligibility for those benefits. SSA collects the necessary 
information on Form SSA-454 to complete the review for continued 
disability for current Supplemental Security Income recipients. 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.

[[Page 71786]]

    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
             Modality of completion                 respondents      response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
SSA-454-BK (Paper version)......................           1,500               1              60           1,500
EDCS *..........................................           1,500               1              59           1,475
SSA-454-ICR.....................................         541,000               1              30         270,500
Abbreviated EDCS interview to supplement SSA-454-        541,000  ..............              25         225,417
 ICR............................................
                                                 ---------------------------------------------------------------
    Totals......................................       1,085,000  ..............  ..............         498,892
----------------------------------------------------------------------------------------------------------------
* Claims representatives may choose to complete the EDCS 454 rather than the SSA-454-BK.

    2. State Death Match Collections--20 CFR 404.301, 404.310-404.311, 
404.316, 404.330-404-341, 404.350-404.352, 404.371; 416.912--0960-0700. 
SSA uses the State Death Match Collections to ensure the accuracy of 
payment files by detecting unreported or inaccurate deaths of 
beneficiaries. Under the Social Security Act, entitlement to 
retirement, disability, wife's, husband's, or parent's benefits 
terminates when the beneficiary dies. The States furnish death 
certificate information to SSA via the Manual Registration Process or 
the Electronic Death Registration Process (EDR). Both Death Match 
processes are automated electronic transfers between the States and 
SSA. The respondents are the States' bureaus of vital statistics.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                   Frequency of    Average cost      Estimated
               Collection  format                    Number of       responses      per record      annual cost
                                                    respondents     (per state)       request         burden
----------------------------------------------------------------------------------------------------------------
State Death Match--Manual Process...............              23          50,000             .80        $920,000
State Death Match--EDR..........................              30          50,000            2.86       4,290,000
                                                 ---------------------------------------------------------------
    Totals......................................              53  ..............  ..............     * 5,210,000
----------------------------------------------------------------------------------------------------------------
* Please note both data matching processes are electronic and there is no hourly burden for the respondent to
  provide this information.

    II. SSA has submitted the information collection listed 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 27, 2010. You can obtain a copy of the OMB 
clearance package by calling the SSA Reports Clearance Officer at 410-
965-8783 or by writing to the above e-mail address.
    1. Work History Report--20 CFR 404.1515, 404.1560, 404.1565, 
416.960 and 4163965--0960-0578. Under certain circumstances, SSA asks 
individuals about work they performed in the past. Applicants use Form 
SSA-3369 to provide detailed information about jobs held prior to 
becoming unable to work. State Disability Determination Services 
evaluate the information, together with medical evidence, to determine 
eligibility for disability.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                  Average burden     Estimated
               Collection  method                    Number of     Frequency of    per  response   annual burden
                                                    respondents      response         (hours)         (hours)
----------------------------------------------------------------------------------------------------------------
SSA-3369 (Paper form)...........................       1,090,346               1               1       1,090,346
EDCS 3369.......................................         607,122               1               1         607,122
                                                 ---------------------------------------------------------------
    Totals......................................       1,697,468  ..............  ..............       1,697,468
----------------------------------------------------------------------------------------------------------------

    2. Appeal of Determination for Help with Medicare Prescription Drug 
Plan Costs--0960-0695. Public Law 108-173, the Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003 (MMA), established the 
Medicare Part D program for voluntary prescription drug coverage for 
certain low-income individuals. The MMA stipulates subsidies must be 
available for individuals who are eligible for the program and who meet 
eligibility criteria for help with premium, deductible, or co-payment 
costs. Form SSA-1021, Appeal of Determination for Help with Medicare 
Prescription Drug Plan Costs, obtains information from individuals who 
appeal SSA's decisions regarding eligibility or continuing eligibility 
for a Medicare Part D subsidy. The respondents are applicants who are 
appealing SSA's eligibility or continuing eligibility decisions.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 75,000.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 12,500 hours.

    Dated: November 18, 2010.
Liz Davidson,
Center Director, Center for Reports Clearance, Social Security 
Administration.
[FR Doc. 2010-29576 Filed 11-23-10; 8:45 am]
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