[Federal Register Volume 76, Number 16 (Tuesday, January 25, 2011)]
[Notices]
[Pages 4407-4408]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-1445]


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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 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].
    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 
March 28, 2011. Individuals can obtain a copy of the collection 
instrument by calling the SSA Reports Clearance Officer at 410-965-8783 
or by writing to the above e-mail address.
    Request for Evidence from Doctor or Hospital--20 CFR 404 Subpart I 
and 20 CFR 416 Subpart P--0960-0722. Sections 223(d)(5) and 
1614(a)(3)(H)(i) of the Social Security Act require claimants to 
furnish medical evidence of their disability when filing a disability 
claim. SSA uses Forms HA-66 and HA-67 to obtain medical evidence from 
sources (physicians, hospitals, etc.) who treated or evaluated the 
claimant. SSA uses the information to determine eligibility for 
benefits. The respondents are medical sources, doctors, and hospitals 
that evaluate the claimants.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                  Average burden     Estimated
      Collection instrument          Number of     Frequency of      Number of     per response    annual burden
                                    respondents      response        responses       (minutes)        (hours)
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HA-66...........................           3,060              22          67,320              15          16,830
Paper Version...................
HA-66 Electronic Version........           8,940              22         196,680              15          49,170
HA-67 Paper Version.............           3,060              22          67,320              15          16,830
HA-66 Electronic Version........           8,940              22         196,680              15          49,170
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    Totals......................          24,000  ..............         528,000  ..............         132,000
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    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 February 24, 2011. 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.
    Continuing Disability Review Report--20 CFR 404.1589, 416.989--
0960-0072. SSA conducts periodic reviews to determine whether claimants 
continue to be disabled according to the Social Security Act and 
eligible for Title II or Title XVI payments. We obtain information, 
using SSA-454, on sources of medical treatment, participation in 
vocational rehabilitation programs, and attempts to work. We also ask 
individuals' opinions on whether their conditions have improved. SSA 
uses the information to make a continuing disability determination. The 
respondents are Title II and Title XVI disability recipients or their 
representatives.
    Type of Request: Revision of an OMB-approved information 
collection.

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                                                                                  Average burden   Total annual
              Collection instrument                  Number of     Frequency of    per response       burden
                                                    respondents      response        (minutes)        (hours)
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SSA-454-BK (Paper version)......................           1,500               1              60           1,500
Electronic Disability Collect System (EDCS) 454.           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
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[[Page 4408]]

    Dated: January 19, 2011.
Faye Lipsky,
Reports Clearance Officer, Center for Reports Clearance, Social 
Security Administration.
[FR Doc. 2011-1445 Filed 1-24-11; 8:45 am]
BILLING CODE 4191-02-P