[Federal Register Volume 75, Number 245 (Wednesday, December 22, 2010)]
[Notices]
[Pages 80563-80565]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-32107]


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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 
February 22, 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. RSI/DI Quality Review Case Analysis--Sampled Number Holder; 
Auxiliaries/Survivors; Parent; Stewardship Annual Earnings Test--0960-
0189. SSA collects information on Forms SSA-2930, SSA-2931, and SSA-
2932 to establish a national payment accuracy rate for all cases in 
payment status, and to serve as a source of information regarding 
problem areas in the Retirement and Survivors Insurance (RSI) and 
Disability Insurance (DI) programs. SSA also uses the information to 
measure the accuracy rate for newly adjudicated RSI/DI cases. SSA 
collects information on Form SSA-4659 to evaluate and determine the 
effectiveness of the annual earnings test, and uses the results in 
developing ongoing improvements in the process. SSA sends each 
beneficiary an appointment letter for the interview. About 25 percent 
of respondents will have face-to-face contact reviews and receive one 
of the following letters for an appointment: SSA-L8550-U3 (Appointment 
Letter--Sample Individual), SSA-L8551-U3 (Appointment Letter--Sample 
Family), or the SSA-L8552-U3 (Appointment Letter--Rep Payee). The other 
75 percent of respondents will receive a notice for a telephone contact 
review: either the SSA-L8553-U3 (Beneficiary Telephone Contact), or the 
SSA-L8554-U3 (Rep Payee Telephone Contact) notice.
    To help the beneficiary prepare for the interview, we include three 
forms with each notice:
    (1) SSA-85 (Information Needed to Review Your Social Security 
Claim) that lists the information the beneficiary will need to gather 
for the interview;
    (2) SSA-2935 (Authorization to the Social Security Administration 
to Obtain Personal Information) so SSA can obtain information to verify 
the beneficiary's correct payment amount, if necessary; and
    (3) SSA-8552 (Interview Confirmation) to confirm or reschedule the 
interview if necessary.
    The respondents are a statistically valid sample of all RSI/DI 
beneficiaries in current pay status or their representative payees.
    Type of Request: Revision of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
                   Form number                       responses       response        response     burden (hours)
                                                                                     (minutes)
----------------------------------------------------------------------------------------------------------------
SSA-2930........................................           1,500               1              30             750
SSA-2931........................................             750               1              30             375
SSA-2932........................................             100               1              20              33
SSA-4659........................................             325               1              10              54
SSA-L8550-U3....................................             385               1               5              32
SSA-L8551-U3....................................              95               1               5               8
SSA-L8552-U3....................................              35               1               5               3
SSA-L8553-U3....................................           4,490               1               5             374
SSA-L8554-U3....................................             670               1               5              56
SSA-8552........................................           2,350               1               5             196
SSA-85..........................................           3,850               1               5             321
SSA-2935........................................           2,350               1               5             196

[[Page 80564]]

 
SSA-820/821.....................................             400               1              15             100
SSA-8510........................................             800               1               5              67
iClaim Stewardship Questions....................             324               1              10              54
                                                 ---------------------------------------------------------------
    Totals......................................          18,424  ..............  ..............           2,619
----------------------------------------------------------------------------------------------------------------

    2. Request for Social Security Earnings Information--20 CFR 404.810 
& 401.100--0960-0525. The Social Security Act permits wage earners, or 
their authorized representative, to request Social Security earnings 
information from SSA using Form SSA-7050. SSA uses the information to 
verify the requestor's right to access the information and to produce 
the earnings statement. The respondents are wage earners and their 
authorized representatives.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 60,400.
    Frequency of Response: 1.
    Average Burden per Response: 11 minutes.
    Estimated Annual Burden: 11,073.
    3. Employer Reports of Special Wage Payments--20 CFR 404.428-
404.429--0960-0565. SSA collects information on the SSA-131 to prevent 
earnings-related overpayments and to avoid erroneous withholding of 
benefits. SSA field offices and program service centers also use Form 
SSA-131 for awards and post-entitlement events requiring special wage 
payment verification from employers. While we need this information to 
ensure the correct payment of benefits, we do not require employers to 
respond. The respondents are large and small businesses that make 
special wage payments to retirees.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
             Modality of completion                 respondents      response        response     burden (hours)
                                                                                     (minutes)
----------------------------------------------------------------------------------------------------------------
Paper Version: SSA-131 (without 6).....         105,000               1              20          35,000
Paper Version: SSA-131 6 only..........           1,050               1               2              35
Electronic version: BSO Special Wage Payments...              26               1               5               2
                                                 ---------------------------------------------------------------
    Totals......................................         106,076  ..............  ..............          35,037
----------------------------------------------------------------------------------------------------------------

    4. Methods for Conducting Personal Conferences When Waiver of 
Recovery of a Title II or Title XVI Overpayment Cannot Be Approved--20 
CFR 404.506(e)(3), 404.506(f)(8), 416.557(c)(3), and 416.557(d)(8)--
0960-0769. SSA conducts personal conferences when we cannot approve a 
waiver of recovery of a title II or title XVI overpayment. We are 
required to give overpaid Social Security beneficiaries and 
Supplemental Security Income (SSI) recipients the right to request a 
waiver of recovery and automatically schedule a personal conference if 
we cannot approve their request for waiver of overpayment. We conduct 
these conferences face-to-face, by telephone, or by video 
teleconference. Social Security beneficiaries and recipients or their 
representatives may provide documents to demonstrate they are without 
fault in causing the overpayment and do not have the ability to repay 
the debt. They may submit these documents by printed form (SSA-632 (OMB 
 0960-0037), Request for Waiver of Overpayment Recovery; SSA-
795 (OMB  0960-0045), Statement of Claimant or Other Person, 
or personal statement submitted by mail, telephone, personal contact, 
or other suitable method, such as fax or email. This information 
collection satisfies the requirements for request for waiver of 
recovery of an overpayment and allows individuals to pursue further 
levels of administrative appeal via personal conference. Respondents 
are Social Security beneficiaries and SSI recipients or their 
representatives seeking reconsideration of an SSA waiver decision.
    Type of Request: Extension of an OMB-approved information 
collection.

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
                                                     Number of     Frequency of     burden per     Total annual
     Title/section & collection description          responses       response        response         burden
                                                                                     (minutes)        (hours)
----------------------------------------------------------------------------------------------------------------
Personal conference 404.506(e)(3) submittal of           150,000               1              30          75,000
 additional documents for consideration at
 personal conferences...........................
Personal conference 404.506(f)(8) submittal of            75,000               1              30          37,500
 additional mitigating financial information and
 verifications for consideration at personal
 conferences....................................
Personal conference 416.557(c)(3) submittal of           100,000               1              30          50,000
 additional documents for consideration at
 personal conferences...........................
Personal conference 416.557(d)(8) submittal of            50,000               1              30          25,000
 additional mitigating financial information and
 verifications for consideration at personal
 conferences....................................
                                                 ---------------------------------------------------------------
    Total.......................................         375,000  ..............  ..............         187,500
----------------------------------------------------------------------------------------------------------------


[[Page 80565]]

    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 21, 2011. You can obtain a copy of 
the OMB clearance packages by calling the SSA Reports Clearance Officer 
at 410-965-8783 or by writing to the above email address.
    1. State Mental Institution Policy Review Booklet--20 CFR 404.2035, 
404.2065, 416.635, & 416.665--0960-0110. SSA uses the information 
collected on Form SSA-9584-BK to determine whether: 1) The policies and 
practices of a State mental institution acting as a representative 
payee for SSA beneficiaries conform to SSA's regulations in the use of 
benefits; and 2) the institution is performing other duties and 
responsibilities required of a representative payee. SSA also uses the 
information as the basis for conducting onsite reviews of the 
institution and preparing subsequent reports of findings. The 
respondents are State mental institutions serving as representative 
payees for Social Security beneficiaries and SSI recipients.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 88.
    Frequency of Response: 1.
    Average Burden per Response: 60 minutes.
    Estimated Annual Burden: 88 hours.
    2. Employee Identification Statement--20 CFR 404.702--0960-0473. 
When two or more individuals report earnings under the same Social 
Security number (SSN), SSA collects information on the SSA-4156 so we 
can credit earnings to the correct individual and the correct SSN. We 
send this form to the employer to identify the employees involved, to 
resolve the discrepancy, and to post earnings to the correct SSN. The 
respondents are employers reporting erroneous wage information for an 
employee.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 4,750.
    Frequency of Response: 1.
    Average Burden per Response: 10 minutes.
    Estimated Annual Burden: 792 hours.
    3. Modified Benefit Formula Questionnaire--Employer--20 CFR 401 & 
402--0960-0477. SSA collects information on Form SSA-58 to verify the 
claimant's allegations on Form SSA-150 (OMB  0906-0395, 
Modified Benefits Formula Questionnaire). SSA uses the SSA-58 to 
determine if the modified benefit formula is applicable and when to 
apply it to a person's benefit. SSA sends Form SSA-58 to an employer 
for pension-related information, if the claimant is unable to provide 
it. The respondents are employers of people who are eligible after 1985 
for both Social Security benefits and a pension based on work not 
covered by SSA.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 30,000.
    Frequency of Response: 1.
    Average Burden per Response: 20 minutes.
    Estimated Average Burden: 10,000 hours.
    4. Work Activity Report (Self-Employed Person)--20 CFR 404.1520(b), 
20 CFR 1571-.1576, 20 CFR 404.1584-.1593, and 20 CFR 416.971-.976--
0960-0598. SSA uses the information on Form SSA-820-U4 to determine 
initial or continuing eligibility for SSI payments or Social Security 
disability benefits. Under titles II and XVI of the Social Security 
Act, applicants for disability benefits and SSI payments must prove 
they cannot perform any kind of substantial gainful activity (SGA) 
generally available in the national economy for which we expect them to 
qualify based on age, education, and work experience. SSA needs 
information about this work to determine whether the applicant was (or 
is) engaging in SGA. Working, after a claimant becomes entitled, can 
cause SSA to discontinue disability benefits or SSI payments. Using 
information from Form SSA-820-U4, SSA can determine if we should stop 
the respondent's payments. The respondents are applicants and claimants 
for SSI or Social Security disability benefits.
    Type of Request: Revision of an OMB-approved information 
collection.
    Number of Respondents: 100,000.
    Frequency of Response: 1.
    Average Burden per Response: 30 minutes.
    Estimated Annual Burden: 50,000 hours.

    Dated: December 16, 2010.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2010-32107 Filed 12-21-10; 8:45 am]
BILLING CODE 4191-02-P